June 2017

Date Issued: 10 August 2017

© Department of Health,

This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced without prior written permission from the Department of Health, Western Australia.

Requests and enquiries concerning reproduction and rights should be directed to –

Performance Reporting Branch Purchasing and System Performance Division Department of Health, Western Australia PO Box 8172 Business Centre Western Australia 6849

The Department’s publications on elective surgery are available online at: http://ww2.health.wa.gov.au/Reports-and-publications/Elective-Surgery-Wait-List-ESWL-reports

ISSN 1836-1617 (online) ISSN 1836-1609 (print)

Suggested Citation:

Department of Health, Western Australia (2017): Elective Surgery Wait List Report, WA health system, June 2017.

Contents

Abbreviations ...... iv Notes ...... v Glossary ...... viii 1. Introduction ...... 1 2. Executive summary ...... 1 3. Cases on wait list and waiting time ...... 2 3.1 Number of cases ...... 2 3.2 Waiting times ...... 3 3.3 WA Elective Services Target ...... 4 3.3.1 Statewide WEST performance ...... 4 3.3.2 Category 1 cases ...... 5 3.3.3 Category 2 cases ...... 6 3.3.4 Category 3 cases ...... 6 4 Admissions from wait list ...... 7 4.1 Number of cases ...... 7 4.2 Indicator procedures ...... 8 Appendix A: Quarterly indicator procedure tables ...... 9 Appendix B: Monthly tables ...... 18

iii

Abbreviations

AIHW Australian Institute of Health and Welfare ASI Ambulatory Surgery Initiative CHE Contracted health entities DNA did not attend DOH Department of Health ESWLDC Elective Services Wait List Data Collection ESWL Elective surgery wait list HCARe Health Care and Related Information System JHC Health Campus Metro Metropolitan area n number of cases NA not available PHC Peel Health Campus RFC ready for care TOPAS The Open Patient Administration System WA Western Australia WACHS Western Australian Country Health Service webPAS Web-based Patient Administration System WEST Western Australia Elective Services Target

iv

Notes

WA health system WA health system refers to the public health system in WA as defined in Section 19(1) of the Health Services Act 2016. The WA health system comprises the Department of Health, Health Service Providers and contracted health entities ‘CHE’ (to the extent that CHE provide health services to the State).

Contracted health entities The term ‘CHE’ refers to the following hospitals - , Peel Health Campus and St John of God Midland Public Hospital.

Metropolitan hospitals The term ‘metropolitan hospital’ refers to both public hospitals and CHE. Public hospitals include Armadale Hospital, Bentley Hospital, , , Kalamunda Hospital, Kaleeya Hospital, King Edward Memorial Hospital, Osborne Park Hospital, Princess Margaret Hospital, Rockingham General Hospital, , Royal Perth Rehabilitation Hospital, Sir Charles Gairdner Hospital and .

Data extraction date All data in this report is as at the end of the last day of each reported month.

Data revision The most recent edition of reports should be consulted in case previously published data have been revised. Revisions can be due to updates to procedure codes, lags in data processing or other types of errors detected after publication.

Data sources Wait list data in ESWL reports are from the HCARe (Health Care and Related Information System), TOPAS (The Open Patient Administration System), webPAS (Web-based Patient Administration System) and Joondalup Health Campus, Peel Health Campus and St. John of God Midland Public Hospital data systems. Data in this report are extracted from the Elective Services Wait List Data Collection (ESWLDC).

Data coverage All WA health system’s hospitals with elective surgery wait lists are included. Royal Perth Rehabilitation Hospital closed in early October 2014. Fiona Stanley Hospital data has been included in the report since its opening in October 2014. Kaleeya Hospital closed in early December 2014. Swan District Hospital closed on 24 November 2015. St John of God Midland Public Hospital data has been included in the report since its opening on 24 November 2015.

Data definitions Data in ESWL reports are based on Australian Institute of Health and Welfare (AIHW) reporting guidelines.

v

Notes (continued)

Effects of rounding Where figures have been rounded, discrepancies may occur between sums of the component items and totals. Published percentages are calculated prior to rounding of the figures and therefore some discrepancy may exist between these percentages and those that could be calculated from the rounded figures.

Western Australia Elective Services Target On 1 April 2016, WA health system introduced a new statewide performance target for the provision of elective services. The WA Elective Services Target (WEST) aims to ensure timely and equitable access to public elective services. It replaced the National Elective Surgery Target (NEST), following the expiry of the National Partnership Agreement on Improving Public Hospital Services in 2015.

The WEST indicator refers to the percentage of cases on elective surgery wait lists which wait longer than the clinically recommended time for their procedure, according to their urgency category. The current statewide target is 0%.

Data for On List cases are preliminary as they are snapshots as at the end of each month.

Within boundary cases A patient who has been waiting less than the recommended period in one of the three clinical urgency categories is defined as being within boundary. The clinical urgency categories prioritise patients from least urgent (Category 3) to most urgent (Category 1).

Over boundary cases A patient who has been waiting more than the recommended period in one of the three clinical urgency categories is defined as being over boundary.

Category 1 Procedures that are clinically indicated within 30 days.

Category 2 Procedures that are clinically indicated within 90 days.

Category 3 Procedure that are clinically indicated within 365 days.

Admissions to hospital from the elective surgery wait lists Patients admitted to hospital from the elective surgery wait lists to have their elective surgery are called cases (rather than patients) because someone may have been admitted for elective surgery on more than one occasion. For example, if a patient was admitted twice during the reporting period, then it will be counted as two cases.

vi

Notes (continued)

 Admission cases including Ambulatory Surgery Initiative (ASI) are included regardless of client listing status.  Admitted coded cases are excluded where the wait listed procedure does not meet the AIHW definition of elective surgery.  Admitted uncoded cases (i.e. the wait list procedure is not coded) are included if the wait list type equals ‘Surgical’ and the wait list category equals ‘Elective’.

Number on wait list at the end of period Cases on the ESWLs represent the number of patients waiting. They are called cases (rather than patients) because someone may be on a waiting list more than once. For example, if a patient is on a waiting list twice for two different procedures, then it will be counted as two cases.

 On List cases including ASI are included where the client listing status is “ready for care” (RFC).  On List RFC coded cases are excluded when the wait list procedures are on the AIHW ‘Excluded procedures’ list.  On List uncoded cases are included if the wait list type equals ‘Surgical’ and the wait list category equals ‘Elective’.

Confidentiality Table cells are marked with (*) to indicate when data has been suppressed to protect patient and clinician confidentiality. This occurs when:

 the indicator procedure or specialty in a hospital has only one surgeon and the number of cases in that indicator procedure or specialty is less than 10; or  the total number of cases in a hospital for that indicator procedure or specialty is less than five; and both  any data cells with fewer than five cases within individual indicator procedures and urgency categories; and  to include all suppressed number of cases in the “Uncoded/other” procedure category to maintain the actual total number.

Note: For Tables A-1 to A-16, the data suppression will not impact the calculation of the median waiting time and percentage of cases within boundary. Therefore, a calculation of the percentage of cases within boundary using the suppressed data may not equal the results for listed procedures.

vii

Glossary

Median This refers to 50% of the elective surgery waiting times found at or below this value.

90th percentile This refers to 90% of the elective surgery waiting times found at or under this value.

Specialty Specialty refers to “The area of clinical expertise held by the doctor who will perform the elective surgery”. (Source: Australian Hospital Statistics, AIHW 2012-13.)

Indicator procedure “An indicator procedure is a type of procedure for which an elective surgery patient is waiting. Waiting list statistics for indicator procedures give a specific indication of performance in particular areas of elective care provision.” (Source: Australian Hospital Statistics: elective surgery waiting times, AIHW 2015-16.)

viii

1. Introduction

This report provides information on elective surgery wait lists for WA health system. The report shows current activity and trends pertaining to the elective surgery wait lists, including performance against the WA Elective Services Target (WEST). Unless otherwise indicated, data relates to all procedures meeting the national definition of elective surgery.

The WEST indicator refers to the percentage of cases on elective surgery waiting lists who wait longer than the clinically recommended time for their procedure, according to their urgency category. The current statewide target is 0%. Clinically recommended times for procedures are listed below.

Category 1 cases are procedures that are clinically indicated within 30 days. Category 2 cases are procedures that are clinically indicated within 90 days. Category 3 cases are procedures that are clinically indicated within 365 days.

2. Executive summary

Current activity: June 2017

Cases on Wait Lists At the end of June 2017, there were a total of 21,010 cases on elective surgery wait lists (ESWLs) at all public hospitals. Of these, 1,194 (5.7%) were Category 1 (≤30 days), 4,943 (23.5%) were Category 2 (≤90 days) and 14,873 (70.8%) were Category 3 (≤365 days).

Table 1 below shows the trend of overall WEST performance has been improving since end of January 2017 with over boundary cases decreasing from 7.3% (n=1,460) to 5.3% (n=1,110) at the end of June 2017.

Table 1: Statewide WEST performance by Category from as at the end of January to end of June 2017 Over boundary cases on wait list at end of month Category 1 Category 2 Category 3 Overall n % n % n % n % 2017 Jan 124 13.8% 931 19.8% 405 2.8% 1,460 7.3% Feb 89 8.3% 856 18.6% 361 2.6% 1,306 6.6% Mar 124 11.6% 801 16.7% 317 2.3% 1,242 6.2% Apr 211 19.7% 707 14.5% 358 2.5% 1,276 6.4% May 97 8.7% 604 12.4% 332 2.3% 1,033 5.0% Jun 171 14.3% 572 11.6% 367 2.5% 1,110 5.3%

System wide, specialties with the highest volume of elective surgery over boundary cases were Plastic Surgery (263), Urology (250), Ear, Nose and Throat Surgery (144), General Surgery (92) and Bariatric Surgery (73).

1

Median waiting times Current median waiting times are well within the clinically recommended times:

 Category 1: 10 days (recommended time ≤30 days).  Category 2: 35 days (recommended time ≤90 days).  Category 3: 95 days (recommended time ≤365 days).

The median waiting time for all cases on ESWLs was 63 days for statewide, 64 days for the metropolitan and 59 days for the WACHS.

Admissions In June 2017, there were 7,421 admissions, of which 5,934 (80.0%) were from the metropolitan ESWLs and 1,487 (20.0%) from the WACHS ESWLs.

For the 12 months July 2016 to June 2017, there were 86,095 admissions from WA health system ESWLs. This represents 0.4% or 375 fewer admissions than July 2015 to June 2016, and 4.5% or 3,686 more admissions than July 2014 to June 2015.

3. Cases on wait lists and waiting times 3.1 Number of cases

Table 2 (page 3) displays the number of cases waiting on WA health system ESWLs and waiting times by urgency category as at 30 June 2017, 31 May 2017 and 30 June 2016.

This table shows that as at 30 June 2017, of the 21,010 cases on WA health system ESWLs, 1,194 (5.7%) were classified as Category 1, 4,943 (23.5%) were Category 2 and 14,873 (70.8%) were Category 3. The total of 21,010 cases on WA health system ESWLs was an increase of 473 (2.3%) from 31 May 2017 (20,537) and an increase of 1,136 (5.7%) from 30 June 2016 (19,874). Refer to Table B-1 (page 19) for monthly data from January 2015 for all ESWLs.

The total of 1,194 Category 1 cases was an increase of 82 from May 2017 (1,112) and an increase of 18 compared to June 2016 (1,176).

The total of 4,943 Category 2 cases was an increase of 84 from May 2017 (4,859) and an increase of 4 compared to June 2016 (4,939).

The total of 14,873 Category 3 cases was an increase of 307 from May 2017 (14,566) and an increase of 1,114 compared to June 2016 (13,759).

Tables B-4 to B-6 (pages 22-24) provide a breakdown of WA health system wait list cases by within and over boundary status for statewide, metropolitan and WACHS ESWLs from January 2015 to June 2017.

2

Table 2: Statewide ESWL cases waiting and waiting times by category and overall at 30 June 2016, 31 May 2017 and 30 June 2017

June 2016 May 2017 June 2017 Cases n 1,176 1,112 1,194 Category 1 Waiting median 10 9 10 time (days) 90th percentile 45 30 35 Cases n 4,939 4,859 4,943 Category 2 Waiting median 34 33 35 time (days) 90th percentile 125 105 98 Cases n 13,759 14,566 14,873 Category 3 Waiting median 94 94 95 time (days) 90th percentile 269 275 275 Cases n 19,874 20,537 21,010 Total Waiting median 64 65 63 time (days) 90th percentile 247 249 252 3.2 Waiting times

Table 2 above shows the median and 90th percentile waiting times for cases on waiting lists at 30 June 2017, compared to previous month and the same month last year, by urgency category.

The total statewide 90th percentile waiting time was higher than last month and the same month last year. However, the median waiting time was only slightly different from last month and the same month last year for statewide overall and urgency categories.

Table 3 below shows that as at the end of June 2017, 19,900 (94.7%) of cases on WA health system ESWLs were within boundary with Category 1 having the lowest percentage of cases within boundary (85.7%) and Category 3 having the highest percentage of cases within boundary (97.5%).

Table 3: Statewide summary, cases waiting within boundary at end of month by urgency category, June 2017 Category Cases on wait list at end of month Within boundary Total Median waiting n % n time (days) Category 1 1,023 85.7% 1,194 10 Category 2 4,371 88.4% 4,943 35 Category 3 14,506 97.5% 14,873 95 Total 19,900 94.7% 21,010 63

Figure 1 shows six monthly statewide ESWL cases waiting and median waiting time from the end of December 2006 to the end of June 2017.

3

Figure 1: Statewide ESWL cases and median waiting time (days) at end of six monthly periods, December 2006 - June 2017

On wait list Median Wait Time (Days) 22,500 150

20,000 130

17,500 110

15,000 90

Median wait time (days) timewait Median All cases on wait list wait on cases All

12,500 70

10,000 50

Jun 07 Jun

Jun-08 Jun-09 Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16 Jun-17

Dec 06 Dec 07 Dec

Dec-08 Dec-09 Dec-10 Dec-11 Dec-12 Dec-13 Dec-14 Dec-15 Dec-16

3.3 WA Elective Services Target

Table B-10 (page 28) and Figures 2 to 5 (pages 5 to 7) show the WA Elective Services Target (WEST) performance, i.e. percentage of cases on the wait list for longer than the clinically recommended time by category. The recommended times are 30, 90 and 365 days for Category 1, 2 and 3 respectively.

3.3.1 Statewide WEST performance

Table 4 below shows that overall, Category 1 and 2 WEST performance has improved as at the end of June 2017 compared with same time last year.

Table 4: Statewide WEST performance as at the end of June 2016 and June 2017 Over boundary cases on wait list at end of month Category June 2016 June 2017 n % n % Category 1 204 17.3% 171 14.3% Category 2 767 15.5% 572 11.6% Category 3 264 1.9% 367 2.5% Total 1,235 6.2% 1,110 5.3%

Figure 2 (page 5) shows statewide ESWL cases and the percentage (%) of those that were over boundary over the past two years.

System wide, specialties with the highest volume of elective surgery over boundary cases were Plastic Surgery (263), Urology (250), Ear, Nose and Throat Surgery (144), General Surgery (92) and Bariatric Surgery (73). 4

Figure 2: Statewide WEST performance: percentage of all cases on the wait list longer than the clinically recommended time, June 2015 - June 2017

All cases on wait list % over boundary cases on wait list 25,000 100%

90%

80%

70%

20,000 60%

50%

40% % over boundary over % Cases on ESWLs on Cases 15,000 30%

20%

10%

10,000 0%

Jul-15 Jul-16

Oct-15 Apr-16 Oct-16 Apr-17

Jun-15 Jan-16 Jun-16 Jan-17 Jun-17

Mar-16 Mar-17

Feb-16 Feb-17

Aug-15 Sep-15 Nov-15 Dec-15 Aug-16 Sep-16 Nov-16 Dec-16 May-17 May-16 3.3.2 Category 1 cases

Table B-4 (page 22) provides a breakdown of Category 1 cases by within and over boundary status for statewide, metropolitan and WACHS ESWLs from January 2015 to June 2017.

Figure 3 below shows statewide Category 1 cases on ESWLs and the percentage (%) of those that were over boundary over the past two years.

Figure 3: Statewide Category 1 WEST performance: percentage of Category 1 cases on the wait list longer than the clinically recommended time, June 2015 - June 2017

All Category 1 cases on wait list % over boundary cases on wait list 1,400 100%

90% 1,200 80%

1,000 70%

60% 800 50% 600

40%

% over boundary over % Cases on ESWLs on Cases 400 30% 20% 200 10%

0 0%

Jul-15 Jul-16

Oct-15 Apr-16 Oct-16 Apr-17

Jun-15 Jan-16 Jun-16 Jan-17 Jun-17

Feb-16 Mar-16 Feb-17 Mar-17

Aug-15 Sep-15 Nov-15 Dec-15 Aug-16 Sep-16 Nov-16 Dec-16 May-17 May-16

5

3.3.3 Category 2 cases

Table B-5 (page 23) provides a breakdown of Category 2 cases by within and over boundary status for statewide, metropolitan and WACHS ESWLs from January 2015 to June 2017.

Figure 4 below shows statewide Category 2 cases waiting and the percentage (%) of those that were over boundary over the past two years.

Figure 4: Statewide Category 2 WEST performance: percentage of Category 2 cases on the wait list longer than the clinically recommended time, June 2015 - June 2017

All Category 2 cases on wait list % over boundary cases on wait list 8,000 100%

90% 7,000

80% 6,000

70%

5,000 60%

4,000 50%

40%

3,000 boundary over % Cases on ESWLs on Cases 30% 2,000 20%

1,000 10%

0 0%

Jul-15 Jul-16

Oct-15 Apr-16 Oct-16 Apr-17

Jun-15 Jan-16 Jun-16 Jan-17 Jun-17

Mar-16 Mar-17

Feb-16 Feb-17

Nov-15 Dec-15 Nov-16 Dec-16

Aug-15 Sep-15 Aug-16 Sep-16

May-16 May-17

3.3.4 Category 3 cases

Table B-6 (page 24) provides a breakdown of Category 3 cases by within and over boundary status for statewide, metropolitan and WACHS ESWLs from January 2015 to June 2017.

Figure 5 (page 7) shows statewide Category 3 cases waiting and the percentage (%) of those that were over boundary over the past two years.

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Figure 5: Statewide Category 3 WEST performance: percentage of Category 3 cases on the wait list longer than the clinically recommended time, June 2015 - June 2017

All Category 3 cases on wait list % over boundary cases on wait list 15,000 100%

90% 12,500 80%

70%

10,000

60%

7,500 50%

40%

5,000 boundary over % Cases on ESWLs on Cases 30%

20% 2,500 10%

0 0%

Jul-15 Jul-16

Oct-15 Apr-16 Oct-16 Apr-17

Jun-15 Jan-16 Jun-16 Jan-17 Jun-17

Mar-16 Mar-17

Feb-16 Feb-17

Aug-15 Sep-15 Nov-15 Dec-15 Aug-16 Sep-16 Nov-16 Dec-16

May-16 May-17

4 Admissions from wait list 4.1 Number of cases

Table 5 below provides comparative data on the number of admissions from statewide, metropolitan and WACHS ESWLs for the months of, and the 12 months to, June 2017, June 2016 and June 2015.

Table 5: Admissions from WA health system ESWLs for the months of, and the 12 months to, June 2017, June 2016 and June 2015 Monthly admission All admissions in last 12 months Cases (n) Cases (n) Metropolitan ESWLs June 2015 5,964 66,126 June 2016 5,729 69,865 June 2017 5,934 70,275 WACHS ESWLs June 2015 1,477 16,283 June 2016 1,413 16,605 June 2017 1,487 15,820 Statewide June 2015 7,441 82,409 June 2016 7,142 86,470 June 2017 7,421 86,095

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Table 5 (page 7) shows that of the 7,421 statewide admissions in June 2017, 5,934 (80.0%) were from the metropolitan ESWLs and 1,487 (20.0%) were from the WACHS ESWLs.

For the 12 months July 2016 to June 2017, there were 86,095 statewide admissions. This represents 0.4% or 375 fewer admissions than July 2015 to June 2016 and 4.5% or 3,686 more admissions than July 2014 to June 2015.

Figure 6 below shows statewide admissions from WA health system ESWLs over the past two years, noting a lower number of admissions in December, January and April due to seasonal variation/public holidays.

Figure 6: Statewide ESWL admissions, June 2015 - June 2017

Admissions - State Admissions - Metro Admissions - WACHS 9,000

8,000

7,000

6,000

5,000

4,000

3,000 Admissions from ESWLs from Admissions 2,000

1,000

0

Jul-15 Jul-16

Oct-15 Apr-16 Oct-16 Apr-17

Jun-15 Jan-16 Jun-16 Jan-17 Jun-17

Mar-16 Mar-17

Feb-16 Feb-17

Aug-15 Sep-15 Nov-15 Dec-15 Aug-16 Sep-16 Nov-16 Dec-16

May-16 May-17

Tables B-7 to B-9 (pages 25 to 27) show admissions by urgency category from January 2015 for statewide, metropolitan and WACHS ESWLs, respectively.

4.2 Indicator procedures

Of the 22,276 statewide admissions for the June 2017 quarter, 8,115 (36.4%) were from 15 specified surgical indicator procedures. The remaining 14,161 (63.6%) were classified as 'other' procedures. Refer to the Notes section for further information. Appendix A provides admission volumes for these individual procedures by urgency category and within or over boundary status, as well as median waiting times.

8

Appendix A: Quarterly indicator procedure tables

Table A-1: Statewide summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 10 Table A-2: Metropolitan area summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 10 Table A-3: WACHS summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 11 Table A-4: Armadale Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 11 Table A-5: Bentley Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 12 Table A-6: Fiona Stanley Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 12 Table A-7: Fremantle Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 13 Table A-8: Joondalup Health Campus summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 13 Table A-9: King Edward Memorial Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 14 Table A-10: Osborne Park Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 14 Table A-11: Peel Health Campus summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 15 Table A-12: Princess Margaret Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 15 Table A-13: Rockingham General Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 16 Table A-14: Royal Perth Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 16 Table A-15: Sir Charles Gairdner Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 17 Table A-16: St John of God Midland Public Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary ...... 17

9

Table A-1: Statewide summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 38 394 2,345 2,777 52 33 368 2,332 2,733 98.4 Cholecystectomy 56 243 106 405 39 51 236 106 393 97.0 Coronary artery bypass graft 62 * - 62 8 50 * - 50 80.3 Cystoscopy 644 825 692 2,161 28 547 620 651 1,818 84.1 Haemorrhoidectomy 8 57 69 134 50 6 53 68 127 94.8 Hysterectomy 51 135 120 306 49 48 123 120 291 95.1 Inguinal herniorrhaphy 50 229 173 452 41 46 218 172 436 96.5 Myringoplasty 10 12 38 60 145 10 5 32 47 78.3 Myringotomy 20 72 60 152 66 20 62 59 141 92.8 Prostatectomy 62 105 25 192 32 52 85 24 161 83.9 Septoplasty - 9 88 97 217 - 7 72 79 81.4 Tonsillectomy 17 132 272 421 151 17 118 233 368 87.4 Total hip replacement 13 91 250 354 89 13 76 242 331 93.5 Total knee replacement 12 92 392 496 105 11 84 369 464 93.5 Varicose veins stripping * 10 30 40 46 * 9 30 39 97.6 Uncoded/other/* 4,781 4,587 4,799 14,167 29 4,227 4,045 4,576 12,848 90.7 Total 5,824 6,993 9,459 22,276 35 5,131 6,109 9,086 20,326 91.2 - no cases; * data suppressed to protect confidentiality

Table A-2: Metropolitan area summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 34 356 1,664 2,054 52 29 330 1,651 2,010 97.9 Cholecystectomy 38 172 85 295 36 35 166 85 286 96.9 Coronary artery bypass graft 62 * - 62 8 50 * - 50 80.3 Cystoscopy 556 753 464 1,773 34 459 548 423 1,430 80.7 Haemorrhoidectomy 5 37 47 89 49 * 33 46 79 93.3 Hysterectomy 44 98 88 230 49 41 87 88 216 93.9 Inguinal herniorrhaphy 39 169 137 345 40 36 158 136 330 95.7 Myringoplasty - 8 20 28 192 - * 15 15 57.1 Myringotomy 6 57 38 101 72 6 47 38 91 90.1 Prostatectomy 59 92 15 166 30 49 72 14 135 81.3 Septoplasty - 8 74 82 196 - 6 58 64 78.0 Tonsillectomy 14 119 220 353 145 14 105 192 311 88.1 Total hip replacement 13 88 198 299 72 13 73 193 279 93.3 Total knee replacement 12 87 329 428 98 11 79 316 406 94.9 Varicose veins stripping * 7 24 31 34 * 6 24 30 96.9 Uncoded/other/* 4,200 3,915 3,709 11,824 29 3,651 3,372 3,493 10,516 89.0 Total 5,082 5,966 7,112 18,160 35 4,399 5,086 6,772 16,257 89.5 - no cases; * data suppressed to protect confidentiality

10

Table A-3: WACHS summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction * 38 681 719 51 * 38 681 719 100.0 Cholecystectomy 18 71 21 110 47 16 70 21 107 97.3 Coronary artery bypass graft ------Cystoscopy 88 72 228 388 8 88 72 228 388 100.0 Haemorrhoidectomy * 20 22 42 50 * 20 22 42 97.8 Hysterectomy 7 37 32 76 47 7 36 32 75 98.7 Inguinal herniorrhaphy 11 60 36 107 41 10 60 36 106 99.1 Myringoplasty 10 * 18 28 74 10 * 17 27 96.9 Myringotomy 14 15 22 51 20 14 15 21 50 98.0 Prostatectomy * 13 10 23 40 * 13 10 23 100.0 Septoplasty - * 14 14 270 - * 14 14 100.0 Tonsillectomy * 13 52 65 161 * 13 41 54 83.8 Total hip replacement - * 52 52 184 - * 49 49 94.5 Total knee replacement - 5 63 68 174 - 5 53 58 85.3 Varicose veins stripping * * 6 6 66 * * 6 6 100.0 Uncoded/other/* 594 683 1,090 2,367 29 587 681 1,083 2,351 99.4 Total 742 1,027 2,347 4,116 35 732 1,023 2,314 4,069 98.9 - no cases; * data suppressed to protect confidentiality

Table A-4: Armadale Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction ------Cholecystectomy * 27 * 27 24 * 26 * 26 97.0 Coronary artery bypass graft ------Cystoscopy * 57 8 65 29 * 55 8 63 97.1 Haemorrhoidectomy * * 7 7 47 - * 7 7 88.9 Hysterectomy * * * * 49 * * * * 100.0 Inguinal herniorrhaphy * 36 8 44 22 * 36 8 44 100.0 Myringoplasty - * * * 210 - * * * 100.0 Myringotomy - * 11 11 322 - * 11 11 100.0 Prostatectomy * * * * 59 * * * * 100.0 Septoplasty - - * * 374 - - - - 0.0 Tonsillectomy - - 31 31 350 - - 26 26 83.9 Total hip replacement - 12 16 28 85 - 10 16 26 92.9 Total knee replacement * 5 40 45 103 * 5 40 45 100.0 Varicose veins stripping * - 14 14 56 * - 14 14 100.0 Uncoded/other/* 116 226 218 560 47 109 218 206 533 95.4 Total 116 363 353 832 48 109 350 336 795 95.6 - no cases; * data suppressed to protect confidentiality

11

Table A-5: Bentley Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 8 89 626 723 79 8 86 625 719 99.4 Cholecystectomy * 12 * 12 26 * 12 * 12 100.0 Coronary artery bypass graft ------Cystoscopy ------Haemorrhoidectomy - 7 * 7 41 - 7 * 7 100.0 Hysterectomy - * - * 46 - * - * 100.0 Inguinal herniorrhaphy * 13 - 13 54 * 12 - 12 92.9 Myringoplasty ------Myringotomy * - * * 13 * - * * 100.0 Prostatectomy ------Septoplasty - * 13 13 43 - * 13 13 100.0 Tonsillectomy - * 11 11 34 - * 11 11 100.0 Total hip replacement ------Total knee replacement ------Varicose veins stripping ------Uncoded/other/* 31 173 211 415 41 21 163 204 388 93.2 Total 39 294 861 1,194 63 29 280 853 1,162 97.3 - no cases, * data suppressed to protect confidentiality

Table A-6: Fiona Stanley Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction ------Cholecystectomy * 7 - 7 37 * 5 - 5 70.0 Coronary artery bypass graft 41 * - 41 9 30 * - 30 72.7 Cystoscopy 147 107 44 298 50 109 31 20 160 53.7 Haemorrhoidectomy ------Hysterectomy * - * * 100 * - * * 100.0 Inguinal herniorrhaphy * * - * 30 * - - * 60.0 Myringoplasty - * * * 149 - - * * 20.0 Myringotomy - 10 * 10 167 - * * * 18.2 Prostatectomy 9 5 * 14 57 * * - * 40.0 Septoplasty ------Tonsillectomy - 9 13 22 370 - * * * 13.6 Total hip replacement ------Total knee replacement ------Varicose veins stripping ------Uncoded/other/* 801 400 143 1,344 26 604 230 123 957 70.7 Total 998 538 200 1,736 29 743 266 143 1,152 66.4 - no cases, * data suppressed to protect confidentiality

12

Table A-7: Fremantle Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 9 101 74 184 63 9 97 74 180 97.8 Cholecystectomy 7 25 8 40 46 7 24 8 39 97.5 Coronary artery bypass graft ------Cystoscopy - - * * 170 - - * * 100.0 Haemorrhoidectomy - * * * 203 - * * * 100.0 Hysterectomy * 10 * 10 99 * * * * 52.9 Inguinal herniorrhaphy 9 17 15 41 68 7 17 14 38 92.7 Myringoplasty - * * * 413 - - * * 20.0 Myringotomy - - * * 47 - - * * 100.0 Prostatectomy ------Septoplasty - - 10 10 449 - - * * 20.0 Tonsillectomy - * 11 11 158 - * 10 10 85.7 Total hip replacement * 31 26 57 67 * 29 26 55 96.7 Total knee replacement * 22 55 77 110 * 21 54 75 96.3 Varicose veins stripping ------Uncoded/other/* 247 307 301 855 52 200 248 278 726 84.7 Total 272 513 500 1,285 59 223 436 464 1,123 87.4 - no cases, * data suppressed to protect confidentiality

Table A-8: Joondalup Health Campus summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction - - 149 149 147 - - 144 144 96.6 Cholecystectomy * 19 11 30 17 * 19 11 30 100.0 Coronary artery bypass graft ------Cystoscopy 44 62 95 201 22 44 61 93 198 98.5 Haemorrhoidectomy * 19 * 19 39 * 17 * 17 91.3 Hysterectomy * 12 19 31 48 * 11 19 30 96.9 Inguinal herniorrhaphy * 22 18 40 22 * 22 18 40 100.0 Myringoplasty - - * * 298 - - * * 100.0 Myringotomy - * * * 75 - * * * 100.0 Prostatectomy 10 15 * 25 33 9 15 * 24 96.3 Septoplasty - - 11 11 239 - - 11 11 100.0 Tonsillectomy * - 26 26 180 * - 26 26 100.0 Total hip replacement - * 29 29 91 - * 29 29 100.0 Total knee replacement * 5 39 44 123 * 5 37 42 95.7 Varicose veins stripping - * 8 8 8 - * 8 8 100.0 Uncoded/other/* 168 253 708 1,129 21 166 249 661 1,076 95.2 Total 222 407 1,113 1,742 27 219 399 1,057 1,675 96.2 - no cases, * data suppressed to protect confidentiality

13

Table A-9: King Edward Memorial Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction ------Cholecystectomy ------Coronary artery bypass graft ------Cystoscopy 5 13 * 18 6 5 13 * 18 100.0 Haemorrhoidectomy ------Hysterectomy 31 35 30 96 35 30 35 30 95 99.0 Inguinal herniorrhaphy ------Myringoplasty ------Myringotomy ------Prostatectomy ------Septoplasty ------Tonsillectomy ------Total hip replacement ------Total knee replacement ------Varicose veins stripping ------Uncoded/other/* 191 202 153 546 25 190 200 153 543 99.4 Total 227 250 183 660 25 225 248 183 656 99.4 - no cases, * data suppressed to protect confidentiality

Table A-10: Osborne Park Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction * 7 408 415 18 * 7 408 415 99.8 Cholecystectomy - 17 13 30 54 - 17 13 30 100.0 Coronary artery bypass graft ------Cystoscopy 35 72 23 130 37 31 61 23 115 88.5 Haemorrhoidectomy - * 21 21 117 - * 21 21 100.0 Hysterectomy * * 9 9 80 * * 9 9 100.0 Inguinal herniorrhaphy - 16 25 41 91 - 15 25 40 97.6 Myringoplasty - - * * 190 - - * * 100.0 Myringotomy ------Prostatectomy * 9 6 15 53 - 9 6 15 93.8 Septoplasty - - 5 5 194 - - 5 5 100.0 Tonsillectomy - - 5 5 76 - - 5 5 100.0 Total hip replacement - 7 24 31 62 - 5 24 29 93.5 Total knee replacement - * 38 38 86 - * 38 38 100.0 Varicose veins stripping ------Uncoded/other/* 65 270 334 669 55 61 254 327 642 96.1 Total 100 398 911 1,409 44 92 368 904 1,364 96.8 - no cases, * data suppressed to protect confidentiality

14

Table A-11: Peel Health Campus summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 6 89 152 247 64 * 89 152 241 99.2 Cholecystectomy 5 * 12 17 19 5 * 12 17 100.0 Coronary artery bypass graft ------Cystoscopy 48 34 130 212 15 47 32 130 209 98.6 Haemorrhoidectomy * - * * 8 * - * * 100.0 Hysterectomy * 16 10 26 52 - 13 10 23 85.2 Inguinal herniorrhaphy 7 8 13 28 13 7 8 13 28 100.0 Myringoplasty - - * * 153 - - * * 100.0 Myringotomy ------Prostatectomy 7 22 * 29 12 6 22 * 28 96.8 Septoplasty - * 6 6 170 - * 6 6 100.0 Tonsillectomy - * 21 21 214 - * 21 21 100.0 Total hip replacement - 7 24 31 41 - 6 24 30 96.8 Total knee replacement - 17 31 48 46 - 17 30 47 97.9 Varicose veins stripping - * * * 28 - * * * 100.0 Uncoded/other/* 256 242 297 795 14 240 237 297 774 96.9 Total 329 435 696 1,460 20 305 424 695 1,424 97.5 - no cases, * data suppressed to protect confidentiality

Table A-12: Princess Margaret Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction * 7 * 7 56 * 7 * 7 100.0 Cholecystectomy ------Coronary artery bypass graft ------Cystoscopy * 22 15 37 84 * 22 15 37 100.0 Haemorrhoidectomy * - - * 7 * - - * 100.0 Hysterectomy ------Inguinal herniorrhaphy 6 8 * 14 52 6 8 * 14 100.0 Myringoplasty - - * * 93 - - * * 100.0 Myringotomy 5 42 7 54 63 5 42 7 54 100.0 Prostatectomy ------Septoplasty - - * * 350 - - * * 100.0 Tonsillectomy 7 90 62 159 84 7 90 62 159 100.0 Total hip replacement ------Total knee replacement ------Varicose veins stripping ------Uncoded/other/* 246 486 357 1,089 41 245 484 356 1,085 99.6 Total 264 655 441 1,360 51 263 653 440 1,356 99.7 - no cases, * data suppressed to protect confidentiality

15

Table A-13: Rockingham General Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction ------Cholecystectomy 8 14 9 31 46 8 14 9 31 100.0 Coronary artery bypass graft ------Cystoscopy 70 113 59 242 121 68 32 46 146 60.3 Haemorrhoidectomy - * * * 49 - * * * 100.0 Hysterectomy * 7 * 7 72 * 7 * 7 100.0 Inguinal herniorrhaphy * 11 27 38 60 * 11 27 38 100.0 Myringoplasty - * * * 370 - - - - 0.0 Myringotomy - * - * 140 - - - - 0.0 Prostatectomy 10 11 - 21 60 10 * - 10 57.1 Septoplasty - - * * 410 - - - - 0.0 Tonsillectomy - 5 10 15 369 - - - - 0.0 Total hip replacement - * 8 8 169 - * 8 8 90.9 Total knee replacement - * 23 23 218 - * 22 22 96.3 Varicose veins stripping ------Uncoded/other/* 146 143 200 489 49 145 120 186 451 92.7 Total 234 304 336 874 68 231 184 298 713 81.6 - no cases, * data suppressed to protect confidentiality

Table A-14: Royal Perth Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 5 31 22 58 149 5 12 15 32 55.2 Cholecystectomy 7 16 * 23 21 6 15 * 21 92.6 Coronary artery bypass graft ------Cystoscopy 120 126 63 309 57 71 98 61 230 74.4 Haemorrhoidectomy - * * * 443 - - - - 0.0 Hysterectomy ------Inguinal herniorrhaphy * 9 * 9 35 * 5 * 5 64.3 Myringoplasty - * * * 141 - - * * 66.7 Myringotomy - * * * 36 - * * * 100.0 Prostatectomy 9 12 * 21 54 7 5 * 12 60.9 Septoplasty - * 8 8 350 - - * * 44.4 Tonsillectomy * * 5 5 20 * * * * 90.9 Total hip replacement 6 14 26 46 149 6 9 21 36 78.3 Total knee replacement * 12 33 45 245 * 7 25 32 71.7 Varicose veins stripping - * - * 68 - * - * 50.0 Uncoded/other/* 1,044 613 232 1,889 25 822 443 170 1,435 75.5 Total 1,191 833 389 2,413 34 917 594 292 1,803 74.7 - no cases, * data suppressed to protect confidentiality

16

Table A-15: Sir Charles Gairdner Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction * 11 67 78 63 - 11 67 78 97.5 Cholecystectomy * 12 * 12 22 * 11 * 11 94.1 Coronary artery bypass graft 21 * - 21 8 20 * - 20 95.5 Cystoscopy 77 39 19 135 27 74 36 19 129 95.6 Haemorrhoidectomy - * - * 21 - * - * 100.0 Hysterectomy - * * * 19 - * * * 100.0 Inguinal herniorrhaphy * 8 7 15 45 * 5 7 12 83.3 Myringoplasty ------Myringotomy - - * * 71 - - * * 100.0 Prostatectomy 9 6 * 15 27 9 5 * 14 93.8 Septoplasty - * 7 7 177 - - 6 6 75.0 Tonsillectomy * 5 * 5 71 * 5 * 5 100.0 Total hip replacement * 10 19 29 85 * 8 19 27 93.9 Total knee replacement 5 18 33 56 85 5 16 33 54 96.4 Varicose veins stripping - - * * 39 - - * * 100.0 Uncoded/other/* 897 551 475 1,923 21 860 474 454 1,788 93.0 Total 1,009 660 627 2,296 23 968 571 605 2,144 93.4 - no cases, * data suppressed to protect confidentiality

Table A-16: St John of God Midland Public Hospital summary by indicator procedure, June 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction - 21 165 186 19 - 21 165 186 100.0 Cholecystectomy * 19 19 38 45 - 19 19 38 97.4 Coronary artery bypass graft ------Cystoscopy * 108 * 108 16 * 107 * 107 99.1 Haemorrhoidectomy - * * * 41 - * * * 100.0 Hysterectomy - 6 6 12 129 - 6 6 12 100.0 Inguinal herniorrhaphy * 19 20 39 35 * 19 20 39 100.0 Myringoplasty - - * * 214 - - * * 100.0 Myringotomy - - 12 12 135 - - 12 12 100.0 Prostatectomy * 8 - 8 26 * 8 - 8 100.0 Septoplasty - * 10 10 164 - * 10 10 100.0 Tonsillectomy - - 21 21 172 - - 21 21 100.0 Total hip replacement - * 26 26 41 - * 26 26 100.0 Total knee replacement - - 37 37 60 - - 37 37 100.0 Varicose veins stripping - * - * 25 - * - * 100.0 Uncoded/other/* 81 135 186 402 27 75 133 186 394 98.2 Total 81 316 502 899 26 75 313 502 890 99.0 - no cases, * data suppressed to protect confidentiality.

17

Appendix B: Monthly tables

Table B-1: Statewide ESWL cases waiting and waiting times, January 2015 - June 2017 ...... 19 Table B-2: Metropolitan ESWL cases waiting and waiting times, January 2015 - June 2017 ...... 20 Table B-3: WACHS ESWL cases waiting and waiting times, January 2015 - June 2017 ..... 21 Table B-4: ESWL Category 1 cases within and over boundary by metropolitan, WACHS and statewide, January 2015 - June 2017 ...... 22 Table B-5: ESWL Category 2 cases within and over boundary by metropolitan, WACHS and statewide, January 2015 - June 2017 ...... 23 Table B-6: ESWL Category 3 cases within and over boundary by metropolitan, WACHS and statewide, January 2015 - June 2017 ...... 24 Table B-7: Statewide ESWL admissions by urgency category, January 2015 - June 2017 ...... 25 Table B-8: Metropolitan ESWL admissions by urgency category, January 2015 - June 2017 ...... 26 Table B-9: WACHS ESWL admissions by urgency category, January 2015 - June 2017..... 27 Table B-10: Statewide WEST performance: percentage (%) of cases on the wait list longer than the clinically recommended time at the end of the month, by Category, June 2017 ...... 28

18

Table B-1: Statewide ESWL cases waiting and waiting times, January 2015 - June 2017

Cases on ESWLs at end of month Within boundary Over boundary Total Waiting Waiting time Cases time Cases Waiting time Cases Median Median Median 90th percentile Days n % Days n % Days Days n 2015

Jan 71 16,552 93.2 136 1,213 6.8 75 247 17,765

Feb 71 16,898 92.7 141 1,328 7.3 75 240 18,226

Mar 56 16,663 92.6 144 1,335 7.4 63 244 17,998

Apr 62 16,821 91.9 163 1,485 8.1 69 248 18,306

May 62 16,668 92.4 173 1,363 7.6 69 249 18,031

Jun 56 16,995 93.0 180 1,287 7.0 62 251 18,282

Jul 58 16,559 93.6 161 1,133 6.4 65 251 17,692

Aug 59 16,578 94.4 157 991 5.6 63 237 17,569

Sep 53 16,375 94.8 153 895 5.2 57 231 17,270

Oct 56 16,249 95.7 149 724 4.3 59 229 16,973

Nov 54 16,327 95.1 152 842 4.9 59 228 17,169

Dec 59 16,816 94.4 142 1,000 5.6 63 232 17,816

2016

Jan 68 17,168 93.3 139 1,227 6.7 73 237 18,395

Feb 70 17,113 93.4 143 1,204 6.6 76 242 18,317

Mar 56 17,314 93.7 153 1,166 6.3 62 234 18,480

Apr 60 17,499 94.3 158 1,063 5.7 65 241 18,562

May 61 17,781 94.2 152 1,097 5.8 68 244 18,878

Jun 59 18,639 93.8 150 1,235 6.2 64 247 19,874

Jul 65 18,416 93.3 160 1,312 6.7 69 255 19,728

Aug 66 17,943 92.8 175 1,387 7.2 72 264 19,330

Sep 64 18,033 92.3 178 1,494 7.7 71 252 19,527

Oct 65 18,271 92.3 182 1,527 7.7 73 252 19,798

Nov 59 18,177 93.3 194 1,315 6.7 68 253 19,492

Dec 67 18,110 93.3 178 1,301 6.7 73 260 19,411

2017

Jan 76 18,479 92.7 175 1,460 7.3 82 265 19,939 Feb 76 18,468 93.4 168 1,306 6.6 82 263 19,774 Mar 59 18,690 93.8 157 1,242 6.2 67 252 19,932 Apr 65 18,762 93.6 157 1,276 6.4 68 255 20,038 May 62 19,504 95.0 181 1,033 5.0 65 249 20,537 Jun 59 19,900 94.7 169 1,110 5.3 63 252 21,010 Jul Aug Sep Oct Nov Dec

19

Table B-2: Metropolitan ESWL cases waiting and waiting times, January 2015 - June 2017

Cases on ESWLs at end of month Within boundary Over boundary Total Waiting Waiting time Cases time Cases Waiting time Cases Median Median Median 90th percentile Days n % Days n % Days Days n 2015

Jan 68 13,033 91.5 136 1,204 8.5 75 243 14,237

Feb 71 13,368 91.1 139 1,312 8.9 75 237 14,680

Mar 57 12,936 90.8 140 1,310 9.2 68 243 14,246

Apr 62 13,200 90.0 162 1,461 10.0 70 246 14,661

May 62 13,063 90.8 171 1,326 9.2 72 248 14,389

Jun 56 13,279 91.5 173 1,240 8.5 63 251 14,519

Jul 58 12,949 92.2 158 1,102 7.8 66 253 14,051

Aug 59 13,005 93.0 154 975 7.0 63 245 13,980

Sep 51 12,972 93.7 148 875 6.3 57 233 13,847

Oct 57 12,796 94.8 148 709 5.2 60 232 13,505

Nov 53 12,939 94.0 151 823 6.0 60 229 13,762

Dec 58 13,312 93.1 141 989 6.9 64 233 14,301

2016

Jan 67 13,606 91.8 139 1,214 8.2 73 240 14,820

Feb 70 13,461 91.9 140 1,187 8.1 77 243 14,648

Mar 56 13,865 92.4 149 1,143 7.6 63 234 15,008

Apr 60 13,974 93.0 157 1,046 7.0 65 241 15,020

May 62 14,212 93.0 147 1,076 7.0 70 247 15,288

Jun 60 14,853 92.5 149 1,212 7.5 69 248 16,065

Jul 66 14,604 91.9 159 1,295 8.1 73 261 15,899

Aug 68 14,259 91.4 173 1,334 8.6 76 267 15,593

Sep 65 14,307 90.7 177 1,463 9.3 74 259 15,770

Oct 66 14,416 90.6 181 1,503 9.4 74 258 15,919

Nov 60 14,402 91.7 190 1,302 8.3 69 260 15,704

Dec 66 14,401 91.8 178 1,294 8.2 73 268 15,695

2017

Jan 75 14,435 90.9 173 1,447 9.1 82 271 15,882 Feb 75 14,435 91.8 167 1,291 8.2 82 270 15,726 Mar 58 14,687 92.3 156 1,229 7.7 68 254 15,916 Apr 62 14,775 92.2 156 1,249 7.8 67 255 16,024 May 61 15,426 93.9 175 1,008 6.1 65 250 16,434 Jun 59 15,691 93.6 164 1,071 6.4 64 252 16,762 Jul Aug Sep Oct Nov Dec

20

Table B-3: WACHS ESWL cases waiting and waiting times, January 2015 - June 2017

Cases on ESWLs at end of month Within boundary Over boundary Total Waiting Waiting time Cases time Cases Waiting time Cases Median Median Median 90th percentile Days n % Days n % Days Days n 2015

Jan 74 3,519 99.7 366 9 0.3 74 255 3,528

Feb 71 3,530 99.5 373 16 0.5 71 245 3,546

Mar 54 3,727 99.3 397 25 0.7 54 250 3,752

Apr 64 3,621 99.3 413 24 0.7 64 258 3,645

May 65 3,605 99.0 377 37 1.0 66 251 3,642

Jun 56 3,716 98.8 385 47 1.2 56 249 3,763

Jul 57 3,610 99.1 385 31 0.9 57 241 3,641

Aug 61 3,573 99.6 432 16 0.4 61 221 3,589

Sep 55 3,403 99.4 385 20 0.6 56 220 3,423

Oct 53 3,453 99.6 400 15 0.4 54 220 3,468

Nov 54 3,388 99.4 371 19 0.6 54 215 3,407

Dec 63 3,504 99.7 388 11 0.3 63 226 3,515

2016

Jan 74 3,562 99.6 382 13 0.4 74 235 3,575

Feb 73 3,652 99.5 371 17 0.5 73 229 3,669

Mar 55 3,449 99.3 383 23 0.7 56 232 3,472

Apr 61 3,525 99.5 396 17 0.5 64 242 3,542

May 55 3,569 99.4 382 21 0.6 55 237 3,590

Jun 55 3,786 99.4 393 23 0.6 55 233 3,809

Jul 60 3,812 99.6 376 17 0.4 60 234 3,829

Aug 63 3,684 98.6 366 53 1.4 64 226 3,737

Sep 60 3,726 99.2 394 31 0.8 60 220 3,757

Oct 61 3,855 99.4 372 24 0.6 62 225 3,879

Nov 58 3,775 99.7 391 13 0.3 58 215 3,788

Dec 73 3,709 99.8 386 7 0.2 73 229 3,716

2017

Jan 78 4,044 99.7 370 13 0.3 81 237 4,057 Feb 82 4,033 99.6 371 15 0.4 82 243 4,048 Mar 66 4,003 99.7 394 13 0.3 66 242 4,016 Apr 71 3,987 99.3 386 27 0.7 72 256 4,014 May 65 4,078 99.4 383 25 0.6 68 240 4,103 Jun 59 4,209 99.1 374 39 0.9 59 248 4,248 Jul Aug Sep Oct Nov Dec

21

Table B-4: ESWL Category 1 cases within and over boundary by metropolitan, WACHS and statewide, January 2015 - June 2017

Metropolitan WACHS Statewide Within 30 Within 30 Within 30 days > 30 days Total days > 30 days Total days > 30 days Total n % n n % n n % n % 2015

Jan 618 93.6 42 660 84 98.8 1 85 702 94.2 43 5.8 745 Feb 693 95.6 32 725 75 100.0 - 75 768 96.0 32 4.0 800 Mar 728 87.5 104 832 81 100.0 - 81 809 88.6 104 11.4 913 Apr 735 87.6 104 839 91 100.0 - 91 826 88.8 104 11.2 930 May 748 91.3 71 819 62 96.9 2 64 810 91.7 73 8.3 883 Jun 839 92.8 65 904 87 97.8 2 89 926 93.3 67 6.7 993 Jul 681 90.6 71 752 106 99.1 1 107 787 91.6 72 8.4 859 Aug 778 92.0 68 846 83 98.8 1 84 861 92.6 69 7.4 930 Sep 782 92.4 64 846 90 100.0 - 90 872 93.2 64 6.8 936 Oct 787 91.0 78 865 96 100.0 - 96 883 91.9 78 8.1 961 Nov 844 91.0 83 927 88 97.8 2 90 932 91.6 85 8.4 1,017 Dec 590 81.7 132 722 63 98.4 1 64 653 83.1 133 16.9 786 2016 Jan 668 84.9 119 787 76 98.7 1 77 744 86.1 120 13.9 864 Feb 763 87.2 112 875 82 100.0 - 82 845 88.3 112 11.7 957 Mar 706 82.0 155 861 76 98.7 1 77 782 83.4 156 16.6 938 Apr 801 83.3 161 962 64 98.5 1 65 865 84.2 162 15.8 1,027 May 828 83.3 166 994 91 100.0 - 91 919 84.7 166 15.3 1,085 Jun 838 80.4 204 1042 134 100.0 - 134 972 82.7 204 17.3 1,176 Jul 818 77.6 236 1054 112 100.0 - 112 930 79.8 236 20.2 1,166 Aug 814 80.9 192 1006 95 99.0 1 96 909 82.5 193 17.5 1,102 Sep 725 78.1 203 928 86 98.9 1 87 811 79.9 204 20.1 1,015 Oct 768 81.5 174 942 117 96.7 4 121 885 83.3 178 16.7 1,063 Nov 803 85.8 133 936 140 99.3 1 141 943 87.6 134 12.4 1,077 Dec 496 80.3 122 618 41 100.0 - 41 537 81.5 122 18.5 659 2017 Jan 659 84.2 124 783 114 100.0 - 114 773 86.2 124 13.8 897 Feb 865 90.7 89 954 114 100.0 - 114 979 91.7 89 8.3 1,068 Mar 847 87.2 124 971 97 100.0 - 97 944 88.4 124 11.6 1,068 Apr 733 77.7 210 943 128 99.2 1 129 861 80.3 211 19.7 1,072 May 905 90.3 97 1002 110 100.0 - 110 1,015 91.3 97 8.7 1,112 Jun 927 84.7 168 1095 96 97.0 3 99 1,023 85.7 171 14.3 1,194 Jul Aug Sep Oct Nov Dec - no cases

22

Table B-5: ESWL Category 2 cases within and over boundary by metropolitan, WACHS and statewide, January 2015 - June 2017

Metropolitan WACHS Statewide Within 90 > 90 Within 90 > 90 Within 90 days days Total days days Total days > 90 days Total n % n n % n n % n %

2015

Jan 3,484 78.4 959 4,443 549 99.5 3 552 4,033 80.7 962 19.3 4,995 Feb 3,577 77.1 1,061 4,638 580 100.0 - 580 4,157 79.7 1,061 20.3 5,218 Mar 3,224 77.2 953 4,177 663 99.8 1 664 3,887 80.3 954 19.7 4,841 Apr 3,330 75.6 1,074 4,404 622 100.0 - 622 3,952 78.6 1,074 21.4 5,026 May 3,408 77.4 994 4,402 632 99.5 3 635 4,040 80.2 997 19.8 5,037 Jun 3,604 79.8 914 4,518 695 99.6 3 698 4,299 82.4 917 17.6 5,216 Jul 3,479 81.2 806 4,285 736 99.5 4 740 4,215 83.9 810 16.1 5,025 Aug 3,621 83.4 723 4,344 687 100.0 - 687 4,308 85.6 723 14.4 5,031 Sep 3,627 85.0 641 4,268 686 100.0 - 686 4,313 87.1 641 12.9 4,954 Oct 3,627 88.6 467 4,094 680 100.0 - 680 4,307 90.2 467 9.8 4,774 Nov 3,374 86.1 546 3,920 655 99.4 4 659 4,029 88.0 550 12.0 4,579 Dec 3,663 85.2 637 4,300 619 99.7 2 621 4,282 87.0 639 13.0 4,921

2016 Jan 3,560 80.6 856 4,416 568 99.5 3 571 4,128 82.8 859 17.2 4,987 Feb 3,379 80.3 831 4,210 633 99.5 3 636 4,012 82.8 834 17.2 4,846 Mar 3,496 82.1 761 4,257 619 100.0 - 619 4,115 84.4 761 15.6 4,876 Apr 3,481 83.5 688 4,169 624 100.0 - 624 4,105 85.6 688 14.4 4,793 May 3,352 82.4 715 4,067 673 99.4 4 677 4,025 84.8 719 15.2 4,744 Jun 3,424 81.7 766 4,190 748 99.9 1 749 4,172 84.5 767 15.5 4,939 Jul 3,391 81.0 796 4,187 764 99.9 1 765 4,155 83.9 797 16.1 4,952 Aug 3,315 79.7 846 4,161 664 98.4 11 675 3,979 82.3 857 17.7 4,836 Sep 3,395 78.9 909 4,304 675 98.3 12 687 4,070 81.5 921 18.5 4,991 Oct 3,377 78.3 937 4,314 650 99.4 4 654 4,027 81.1 941 18.9 4,968 Nov 3,296 80.6 794 4,090 581 100.0 - 581 3,877 83.0 794 17.0 4,671 Dec 3,374 80.7 809 4,183 516 100.0 - 516 3,890 82.8 809 17.2 4,699

2017 Jan 3,210 77.6 928 4,138 566 99.5 3 569 3,776 80.2 931 19.8 4,707 Feb 3,157 78.7 854 4,011 579 99.7 2 581 3,736 81.4 856 18.6 4,592 Mar 3,358 80.8 800 4,158 639 99.8 1 640 3,997 83.3 801 16.7 4,798 Apr 3,557 83.5 705 4,262 599 99.7 2 601 4,156 85.5 707 14.5 4,863 May 3,624 85.7 603 4,227 631 99.8 1 632 4,255 87.6 604 12.4 4,859 Jun 3,645 86.5 571 4,216 726 99.9 1 727 4,371 88.4 572 11.6 4,943 Jul Aug Sep Oct Nov Dec - no cases

23

Table B-6: ESWL Category 3 cases within and over boundary by metropolitan, WACHS and statewide, January 2015 - June 2017

Metropolitan WACHS Statewide Within 365 > 365 Within 365 > 365 Within 365 days days Total days days Total days > 365 days Total n % n n % n n % n %

2015

Jan 8,931 97.8 203 9,134 2,886 99.8 5 2,891 11,817 98.3 208 1.7 12,025 Feb 9,098 97.6 219 9,317 2,875 99.4 16 2,891 11,973 98.1 235 1.9 12,208 Mar 8,984 97.3 253 9,237 2,983 99.2 24 3,007 11,967 97.7 277 2.3 12,244 Apr 9,135 97.0 283 9,418 2,908 99.2 24 2,932 12,043 97.5 307 2.5 12,350 May 8,907 97.2 261 9,168 2,911 98.9 32 2,943 11,818 97.6 293 2.4 12,111 Jun 8,836 97.1 261 9,097 2,934 98.6 42 2,976 11,770 97.5 303 2.5 12,073 Jul 8,789 97.5 225 9,014 2,768 99.1 26 2,794 11,557 97.9 251 2.1 11,808 Aug 8,606 97.9 184 8,790 2,803 99.5 15 2,818 11,409 98.3 199 1.7 11,608 Sep 8,563 98.1 170 8,733 2,627 99.2 20 2,647 11,190 98.3 190 1.7 11,380 Oct 8,382 98.1 164 8,546 2,677 99.4 15 2,692 11,059 98.4 179 1.6 11,238 Nov 8,721 97.8 194 8,915 2,645 99.5 13 2,658 11,366 98.2 207 1.8 11,573 Dec 9,059 97.6 220 9,279 2,822 99.7 8 2,830 11,881 98.1 228 1.9 12,109

2016 Jan 9,378 97.5 239 9,617 2,918 99.7 9 2,927 12,296 98.0 248 2.0 12,544 Feb 9,319 97.4 244 9,563 2,937 99.5 14 2,951 12,256 97.9 258 2.1 12,514 Mar 9,663 97.7 227 9,890 2,754 99.2 22 2,776 12,417 98.0 249 2.0 12,666 Apr 9,692 98.0 197 9,889 2,837 99.4 16 2,853 12,529 98.3 213 1.7 12,742 May 10,032 98.1 195 10,227 2,805 99.4 17 2,822 12,837 98.4 212 1.6 13,049 Jun 10,591 97.8 242 10,833 2,904 99.2 22 2,926 13,495 98.1 264 1.9 13,759 Jul 10,395 97.5 263 10,658 2,936 99.5 16 2,952 13,331 98.0 279 2.0 13,610 Aug 10,130 97.2 296 10,426 2,925 98.6 41 2,966 13,055 97.5 337 2.5 13,392 Sep 10,187 96.7 351 10,538 2,965 99.4 18 2,983 13,152 97.3 369 2.7 13,521 Oct 10,271 96.3 392 10,663 3,088 99.5 16 3,104 13,359 97.0 408 3.0 13,767 Nov 10,303 96.5 375 10,678 3,054 99.6 12 3,066 13,357 97.2 387 2.8 13,744 Dec 10,531 96.7 363 10,894 3,152 99.8 7 3,159 13,683 97.4 370 2.6 14,053

2017 Jan 10,566 96.4 395 10,961 3,364 99.7 10 3,374 13,930 97.2 405 2.8 14,335 Feb 10,413 96.8 348 10,761 3,340 99.6 13 3,353 13,753 97.4 361 2.6 14,114 Mar 10,482 97.2 305 10,787 3,267 99.6 12 3,279 13,749 97.7 317 2.3 14,066 Apr 10,485 96.9 334 10,819 3,260 99.3 24 3,284 13,745 97.5 358 2.5 14,103 May 10,897 97.3 308 11,205 3,337 99.3 24 3,361 14,234 97.7 332 2.3 14,566 Jun 11,119 97.1 332 11,451 3,387 99.0 35 3,422 14,506 97.5 367 2.5 14,873 Jul Aug Sep Oct Nov Dec

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Table B-7: Statewide ESWL admissions by urgency category, January 2015 - June 2017

Urgency category Total 1 2 3 2015

Jan 1,210 1,592 1,941 4,743 Feb 1,605 2,230 2,745 6,580 Mar 1,749 2,535 3,040 7,324 Apr 1,512 2,097 2,391 6,000 May 1,817 2,458 3,050 7,325 Jun 1,784 2,494 3,163 7,441 Jul 1,932 2,686 3,251 7,869 Aug 1,714 2,621 3,293 7,628 Sep 1,838 2,665 3,046 7,549 Oct 1,748 2,740 3,228 7,716 Nov 1,848 2,665 3,107 7,620 Dec 1,665 2,054 2,315 6,034 2016 Jan 1,281 2,087 2,110 5,478 Feb 1,723 2,711 3,184 7,618 Mar 1,750 2,496 2,939 7,185 Apr 1,668 2,302 2,649 6,619 May 1,950 2,626 3,436 8,012 Jun 1,928 2,382 2,832 7,142 Jul 1,780 2,204 2,968 6,952 Aug 2,010 2,418 3,396 7,824 Sep 1,776 2,144 2,994 6,914 Oct 1,767 2,181 3,196 7,144 Nov 1,957 2,550 3,483 7,990 Dec 1,831 1,907 2,722 6,460 2017 Jan 1,353 1,816 2,152 5,321 Feb 1,780 2,342 3,180 7,302 Mar 2,062 2,402 3,448 7,912 Apr 1,690 2,031 2,882 6,603 May 2,162 2,632 3,458 8,252 Jun 1,972 2,330 3,119 7,421 Jul Aug Sep Oct Nov Dec

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Table B-8: Metropolitan ESWL admissions by urgency category, January 2015 - June 2017

Urgency category Total 1 2 3 2015

Jan 1,080 1,247 1,494 3,821 Feb 1,393 1,853 1,923 5,169 Mar 1,541 2,156 2,302 5,999 Apr 1,323 1,689 1,721 4,733 May 1,557 2,038 2,301 5,896 Jun 1,565 2,095 2,304 5,964 Jul 1,710 2,236 2,417 6,363 Aug 1,481 2,190 2,505 6,176 Sep 1,630 2,209 2,248 6,087 Oct 1,534 2,267 2,414 6,215 Nov 1,622 2,244 2,329 6,195 Dec 1,480 1,684 1,770 4,934 2016 Jan 1,129 1,770 1,657 4,556 Feb 1,500 2,321 2,315 6,136 Mar 1,558 2,075 2,094 5,727 Apr 1,458 1,851 1,994 5,303 May 1,712 2,159 2,573 6,444 Jun 1,667 1,910 2,152 5,729 Jul 1,547 1,791 2,344 5,682 Aug 1,707 2,002 2,597 6,306 Sep 1,522 1,799 2,263 5,584 Oct 1,516 1,804 2,475 5,795 Nov 1,664 2,142 2,658 6,464 Dec 1,577 1,651 2,169 5,397 2017 Jan 1,215 1,532 1,796 4,543 Feb 1,519 1,961 2,485 5,965 Mar 1,793 1,996 2,590 6,379 Apr 1,486 1,730 2,267 5,483 May 1,884 2,258 2,601 6,743 Jun 1,712 1,978 2,244 5,934 Jul Aug Sep Oct Nov Dec

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Table B-9: WACHS ESWL admissions by urgency category, January 2015 - June 2017

Urgency category Total 1 2 3 2015

Jan 130 345 447 922 Feb 212 377 822 1,411 Mar 208 379 738 1,325 Apr 189 408 670 1,267 May 260 420 749 1,429 Jun 219 399 859 1,477 Jul 222 450 834 1,506 Aug 233 431 788 1,452 Sep 208 456 798 1,462 Oct 214 473 814 1,501 Nov 226 421 778 1,425 Dec 185 370 545 1,100 2016 Jan 152 317 453 922 Feb 223 390 869 1,482 Mar 192 421 845 1,458 Apr 210 451 655 1,316 May 238 467 863 1,568 Jun 261 472 680 1,413 Jul 233 413 624 1,270 Aug 303 416 799 1,518 Sep 254 345 731 1,330 Oct 251 377 721 1,349 Nov 293 408 825 1,526 Dec 254 256 553 1,063 2017 Jan 138 284 356 778 Feb 261 381 695 1,337 Mar 269 406 858 1,533 Apr 204 301 615 1,120 May 278 374 857 1,509 Jun 260 352 875 1,487 Jul Aug Sep Oct Nov Dec

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Table B-10: Statewide WEST performance: percentage (%) of cases on the wait list longer than the clinically recommended time at the end of the month, by Category, June 2017

Category 1 Category 2 Category 3 Overall 2017

Jan 13.8% 19.8% 2.8% 7.3% Feb 8.3% 18.6% 2.6% 6.6% Mar 11.6% 16.7% 2.3% 6.2% Apr 19.7% 14.5% 2.5% 6.4% May 8.7% 12.4% 2.3% 5.0% Jun 14.3% 11.6% 2.5% 5.3% Jul Aug Sep Oct Nov Dec 2017 Target 0.0% 0.0% 0.0% 0.0%

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