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NBMLHD Healthcare Services Plan Data Reference Book 2012-2022 Is to Provide Further Details in Terms of Data for the NBMLHD Healthcare Services Plan 2012-2022

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NBMLHD Healthcare Services Plan Data Reference Book 2012-2022 Is to Provide Further Details in Terms of Data for the NBMLHD Healthcare Services Plan 2012-2022 Nepean Blue Mountains Local Health District Healthcare Services Plan Data Reference Book 2012-2022 NBMLHD Healthcare Services Plan 2012-2022 NBMLHD Healthcare Services Plan 2012-2022 Contents 1. Introduction ........................................................................................................................................ 3 2. Characteristics of the Population ........................................................................................................ 4 3. Drivers ................................................................................................................................................. 8 4. Services in Nepean Blue Mountains Local Health District ................................................................ 12 Bed Profile : NBMLHD Hospitals .............................................................................................. 12 Activity 2010-11: NBMLHD Hospitals ....................................................................................... 15 Overview of Activity in the NBMLHD ....................................................................................... 25 Mental Health Inpatient Acute Activity ................................................................................... 28 Perinatology and Qualified Neonates ...................................................................................... 29 Adult Sub-Acute Activity .......................................................................................................... 30 Outpatient Activity ................................................................................................................... 32 Private Hospital Services Provided for Residents of the NBMLHD .......................................... 33 Primary Care and Community Health ...................................................................................... 35 Mental Health Services ............................................................................................................ 36 Oral Health Services ................................................................................................................. 36 Medicare Local and General Practitioners ............................................................................... 37 Residential Aged Care Facilities ............................................................................................... 38 5. Inflows and Outflows ........................................................................................................................ 39 Inflows, Outflows and Netflows ............................................................................................... 39 Inflows of Patients from outside of Nepean Blue Mountains Local Health District ................ 40 Outflows of Residents of Nepean Blue Mountains Local Health District to Other Hospitals .. 48 6. Projected Health Care Activity to 2022 ............................................................................................. 61 Methodology ............................................................................................................................ 61 Projected Acute and Sub-Acute Activity .................................................................................. 62 Projected Acute Activity for All Ages ....................................................................................... 64 Projected Acute Activity by Hospital for All Ages .................................................................... 65 Projected Adult Acute Activity ................................................................................................. 66 Projected Acute Activity for Older People ............................................................................... 68 Projected Acute Obstetric Activity (All Ages) ........................................................................... 71 Projected Paediatric Acute Care (Age <16 years) .................................................................... 74 Perinatology and Qualified Neonates ...................................................................................... 77 Sub-Acute Inpatient Care Projections ...................................................................................... 78 Emergency Department Presentations .................................................................................... 84 Mental Health .......................................................................................................................... 85 Operating Theatres and Procedure Rooms ............................................................................. 86 Renal Dialysis ........................................................................................................................... 89 Acute Renal Medicine .............................................................................................................. 91 Cancer – Chemotherapy and Radiation Oncology ................................................................... 92 NBMLHD Healthcare Services Plan 2012-2022 NBMLHD Healthcare Services Plan 2012-2022 Table of Acronyms and Abbreviations ABS Australian Bureau of Statistics aIM Acute inpatient modelling projection tool ALOS Average length of stay CWTU Cost weighted separations undiscounted DOHRS Department of Health Reporting System DRGs Diagnostic Related Groups DVA Department of Veterans’ Affairs ED Emergency Department ESRG Enhanced Service Related Group FlowInfo Admitted patient activity tool HDHS Hawkesbury District Health Service HIE Health Information Exchange LGA Local Government Area MH-CCP Mental Health Clinical Care and Prevention Model MOH Ministry of Health NBMLHD Nepean Blue Mountains Local Health District SAPHaRI Secure Analytics for Population Health Research and Intelligence SiAM Sub and non-acute projection tool SRG Service Related Group WSLHD Western Sydney Local Health District Data Reference Book DRB.2 NBMLHD Healthcare Services Plan 2012-2022 1. Introduction The objective of the NBMLHD Healthcare Services Plan Data Reference Book 2012-2022 is to provide further details in terms of data for the NBMLHD Healthcare Services Plan 2012-2022. The scope of NBMLHD Healthcare Services Plan 2012-2022 is to provide an insight of population characteristics of Local Health District , the hospitals and services available in the NBMLHD and their activity , patient inflows and outflows from NBMLHD to other hospitals and outlines projected service activity in the NBMLHD. The data is presented in the same flow as the Nepean Blue Mountains Local Health District Healthcare Services Plan 2012-2022. The information used throughout the document has been sourced through various software and databases which includes Flowinfo v 11.2, aIM2012 v2.0, SiaM2012 v2.0, Australian Bureau of Statistics and others recommended by NSW Ministry of Health. The audience for the NBMLHD Healthcare Services Plan Data Reference Book 2012-2022 includes the population of the NBMLHD, clinicians and managers working within the service and partner organisations working with NBMLHD services and facilities, Ministry of Health, NSW Health Minister and Premier and others interested in the data used to develop the Nepean Blue Mountains Local Health District Healthcare Services Plan 2012-2022. Data Reference Book DRB.3 NBMLHD Healthcare Services Plan 2012-2022 2. Characteristics of the Population Table 2.1. Population Statistics, Births and Fertility for NBMLHD and NSW, 1994 to 2010 Year NBMLHD NSW Number of Population Crude birth Female Total fertility Number of Population Crude birth Total fertility Live births rate per population rate Live births rate rate 1,000 of per 1,000 population childbearing population age 1994 5,378 313,862 17.1 125,874 2.1 86,848 6,060,190 14.3 1.9 1995 5,143 317,489 16.2 126,703 2.0 86,159 6,126,981 14.1 1.8 1996 5,082 322,077 15.8 127,954 2.0 85,192 6,204,728 13.7 1.8 1997 5,027 325,367 15.5 128,091 2.0 86,854 6,276,961 13.8 1.8 1998 5,055 327,963 15.4 127,877 2.0 85,062 6,339,071 13.4 1.8 1999 5,032 331,341 15.2 127,956 2.0 86,102 6,411,370 13.4 1.8 2000 5,101 334,547 15.2 127,944 2.0 86,715 6,486,213 13.4 1.8 2001 4,920 337,866 14.6 127,953 2.0 84,766 6,575,217 12.9 1.8 2002 4,796 338,943 14.1 126,919 1.9 84,921 6,628,951 12.8 1.8 2003 4,762 338,871 14.1 125,700 2.0 85,349 6,672,577 12.8 1.8 2004 4,533 336,823 13.5 124,124 1.9 84,477 6,707,189 12.6 1.8 2005 4,868 336,112 14.5 122,765 2.1 89,324 6,756,457 13.2 1.9 2006 4,819 335,939 14.3 121,738 2.1 91,506 6,816,087 13.4 1.9 2007 4,918 338,031 14.5 121,284 2.1 94,556 6,904,942 13.7 1.9 2008 4,815 342,500 14.1 121,992 2.0 94,887 7,014,887 13.5 1.9 2009 4,872 344,710 14.1 122,060 2.0 94,890 7,096,272 13.4 1.9 2010 4,811 345,160 13.9 121,602 2.0 94,987 7,154,122 13.3 1.9 Sources: NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. Notes: Includes births in NSW to NSW residents only. Total fertility rate (TFR) represents the number of children a female would bear during her lifetime if she experienced current age- specific fertility rates at each age of her reproductive life. Data Reference Book DRB.4 NBMLHD Healthcare Services Plan 2012-2022 Table 2.2. Deaths from All Causes by Sex and Local Government Area, NBMLHD and NSW, 2003 to 2007 Combined Crude death Directly age standardised death rate* Significance Area Sex Deaths Deaths rate per per year 100,000 per 100,000 Lower 99% CI Upper 99% CI Blue Mountains Males 1,283 257 686.7 705.4
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