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Your Hospitals a Six–Monthly Report on Victoria’S Public Hospitals January to June 2006 Your Hospitals a Six–Monthly Report on Victoria’S Public Hospitals

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Your Hospitals a Six–Monthly Report on Victoria’S Public Hospitals January to June 2006 Your Hospitals a Six–Monthly Report on Victoria’S Public Hospitals Your hospitals A six–monthly report on Victoria’s public hospitals January to June 2006 Your hospitals A six–monthly report on Victoria’s public hospitals January to June 2006 Your Hospitals: January to June 2005 1 Published by the Metropolitan Health and Aged Care Services Division, Victorian Government Department of Human Services, Melbourne, Victoria. © Copyright State of Victoria, Department of Human Services, 2006. This publication is copyright. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968. Authorised by the State Government of Victoria, 50 Lonsdale Street, Melbourne. Also published on www.health.vic.gov.au/yourhospitals September 2006 (060906) 2 Your Hospitals: January to June 2005 Foreword Welcome to the fourth edition of Your Hospitals: A Six Monthly Report on Victoria’s Public Hospitals. This report confi rms the Commonwealth Productivity Commissions fi ndings that Victorian Hospitals are meeting the challenges of growing demand and an ageing population by providing timely, high quality and accessible health services. The Victorian Government committed an extra $30 million over the last twelve months to treat extra elective surgery patients, and I am very pleased to report that the number of people on elective surgery waiting lists is now the lowest it has been since 1998. The latest fi gure is down 9.5% on the 40,301 patients that were waiting for their elective surgery at the end of December 1999. 36,454 patients were waiting for their operations at the end of June. Well over half of those patients have now had their surgery, and all of the 892 urgent patients on the list received their surgery within 30 days. This massive reduction in waiting lists comes at a time when Victoria’s public hospitals are admitting more than 1.3 million patients this year – compared with just one million in 1999/2000. Commonwealth fi gures also show that Victoria is performing signifi cantly better than the national average in promptly treating patients in emergency departments. The median time to treat for emergency departments in Victoria is 16 minutes – eight minutes faster than any other state in Australia. This latest Your Hospitals report shows that the partnership between the Government, the Department of Human Services and our dedicated hospital staff has turned around hospitals and healthcare, and is providing the Victorian community with a world-class health system. However, we need to continue to ensure that services adapt to the changing needs of the community. Earlier this year the Minister for Aged Care the Hon. Gavin Jennings and I launched Care in your community - our vision for a modern, integrated and family centred health system. This plan will equip the health system to provide the best mix of hospital and community based care to meet the needs of our growing communities, and provide the right health care in the most appropriate settings to continually strengthen and modernize health care. In the future there will be an even stronger emphasis on preventing ill health, providing better care for people with chronic diseases, and striving for quality and excellence in all aspects of health care services. The Bracks Government will continue to improve our health system in partnership with the community and our dedicated doctors, nurses and health professionals, ensuring that all Victorians receive the care they need where they need it, when they need it. Hon Bronwyn Pike Minister for Health September 2006 Your Hospitals: January to June 2005 3 Contents Achievements and challenges 1 Achievements 2 Victoria - leading the nation 2 Resources 4 Rebuilding hospitals 5 Green light for fi rst stage of new Box Hill hospital 6 Investment in regional Victoria - Geelong 7 McKellar Centre 7 Andrew Love Cancer Centre 7 New Emergency Department 7 Major capital works for public hospitals and residential aged care facilities, 1999–2000 to 2006–07 8 Challenges 11 Increasing demands 11 Emerging technology 11 Making the most of services 11 Rural health 12 Snapshot of the rural health system 12 Rural and regional health 13 The best range of services close to rural communities 13 New technology in Bendigo 14 The best people in the right places 15 Credentialling policy comes to life throughout the Grampians 15 Treating people quickly – reducing time to treatment 17 Patients treated 18 Service standards and targets for 2005-06 20 Hospital bypass 20 Emergency department 20 Admission from the emergency department 21 Critical care services 22 Hospital performance – emergency departments 23 Elective surgery 29 Your Hospitals: January to June 2005 5 Hospital performance – elective surgery 30 Quicker treatment for elective surgery patients 34 Improved patient outcomes for patients needing joint replacement surgery 34 Access to dental care services 35 Improving patient experience 37 Patient satisfaction 38 Hospital cleanliness 40 Reducing time in hospital 41 Preventing illness – reducing avoidable hospital admissions 45 Immunisation 47 Screening for cancer 48 Your Health: A report on the health of Victorians 49 Investing in health professionals 51 Workforce initiatives 53 Appendices 55 Appendix 1: Hospital performance, January–June 2006 56 Appendix 2: Data sources 61 Achievements and challenges Your Hospitals: January to June 2006 1 Achievements Continual work towards a better Victorian health care system has resulted in many signifi cant achievements as outlined in this report. Victoria - leading the nation Earlier this year the Commonwealth Government released two major publications, State of Our Public Hospitals, and Australian Hospital Statistics, 2004-05. Together these reports reveal the extent of the improved performance and accessibility of the Victorian public hospital system in 2004-05 compared to the rest of Australia. Victoria compared favourably to the rest of Australia in many areas including: emergency department treatment times, median waiting times for elective surgery, and treatment of admitted patients in public hospitals. Figure 1: Public hospital admissions, Victoria and Australia 244 240 235 226 215 213 212 207 210 203 201 203 Admissions per 1000 persons 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 Victoria Australia Over the past six years, Victorian public hospitals treated more people than the Australian average. In 2004-05, the Victorian rate of public hospital admissions was the highest of any state, at 244 admissions per thousand population. 2 Your Hospitals: January to June 2006 Figure 2: Proportion of emergency department patients seen within desirable treatment times, Victoria and Australia in 2004-05 In 2004-05, Victoria performed better than, or as well as the national average in treating emergency department patients within desirable times for all 100 100 89 categories. For the emergency category two, 86 88 81 79 76 73 Victoria treated 86 per cent of patients within 69 64 65 10 minutes compared with the national fi gure of 76 per cent. For the emergency category three, Victoria treated 81 per cent within 30 minutes compared Within timeframe (%) to the national fi gure of 64 per cent. Resuscitation Emergency Urgent Semi-urgent Non-urgent Total Victoria Australia Figure 3: Median waiting time to treatment for emergency patients, Victoria and Australia in 2004-05 In 2004-05, Victorian average times to treatment for emergency patients were better than, or equal to the national fi gures for all categories. The Victorian 38 overall median of 16 minutes was eight minutes 30 faster than the next best state and nine minutes 26 25 25 faster than the national median. 21 16 12 Time to treatment (minutes) 4 5 0 0 Resuscitation Emergency Urgent Semi-urgent Non-urgent Total Victoria Australia Figure 4: Waiting times for patients admitted from the waiting list, Victoria and Australia Waiting times is an indicator of access to elective surgery hospital services. In 2004-05, the median 29 waiting time for Victorian elective surgery patients 28 28 28 28 28 28 was 28 days, better than the national average of 27 27 27 29 days. Days waited 2000-01 2001-02 2002-03 2003-04 2004-05 Victoria Australia Your Hospitals: January to June 2006 3 Resources Figure 5: Funding for health and aged care services Our public hospitals are required to treat more and more people as the population (more than 5 million), 9,063 8,383 7,693 and the proportion of older people, increases each 7,010 2,779 6,470 2,538 year. Treating more people in a reasonable time 5,956 2,343 5,382 2,153 5,008 2,003 requires extra capacity – refl ected in extra funding 1,826 $ million 1,712 1,583 and other additional resources. 5,845 6,284 4,857 5,350 4,130 4,467 3,425 3,670 1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 Other health and aged care services Public hospitals (acute health) Public hospital operating funds increased by $439 million or 7.5 per cent from $5,845 million in 2005-06 to $6,284 million in 2006-07. The total budgeted increase for hospitals from 1999– 2000 to 2006-07 is $2,859 million or 84 per cent. Commonwealth funds provided to Victoria for public hospital services have grown by 53 per cent over the same period. Table 1: Funding for public hospitals, ambulance, mental health and dental health services ($ million) 1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 Hospitals (acute health) 3,425 3,670 4,130 4,467 4,857 5,350 5,845 6,284 Mental health 453 494 527 589 616 652 733 783 Ambulance 198 221 225 249 288 319 364 387 Dental 75 79 83 84 89 118 125 130 Aged care, primary health 856 919 990 1,082 1,160 1,255 1,317 1,479 and public health Total funding 5,008 5,382 5,956 6,470 7,010 7,693 8,383 9,063 4 Your Hospitals: January to June 2006 Rebuilding hospitals Victoria’s high standard of public health care can only be maintained and improved if the state has modern hospitals.
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