Western Australia Emergency Access Target Performance Monthly Report
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Western Australia Emergency Access Target Performance Monthly Report February 2019 health.wa.gov.au February 2019 | Western Australia Emergency Access Target Performance Monthly Report What is the WA Emergency Access Target (WEAT)? In February 2016, WA Health system established the WA Emergency Access Target (WEAT) to continue to drive local improvement in patient access to emergency services. This replaced the National Emergency Access Target (NEAT) following the expiry of the Commonwealth National Partnership Agreement on Improving Public Hospital Services in 2015. The WEAT requires 90 per cent of all patients presenting to a hospital emergency department (ED) to be seen and admitted, transferred or discharged within four hours. What hospitals does it cover? Child and Adolescent Health Service (CAHS): Perth Children’s Hospital and Princess Margaret Hospital. East Metropolitan Health Service (EMHS): Royal Perth Hospital, Armadale Health Service and St John of God Midland Public Hospital. North Metropolitan Health Service (NMHS): Sir Charles Gairdner Hospital, King Edward Memorial Hospital and Joondalup Health Campus. South Metropolitan Health Service (SMHS): Fiona Stanley Hospital, Rockingham General Hospital and Peel Health Campus. WA Country Health Service (WACHS): Albany Hospital, Broome Hospital, Bunbury Hospital, Busselton Hospital, Carnarvon Hospital, Derby Hospital, Esperance Hospital, Geraldton Hospital, Hedland Health Campus, Kalgoorlie Hospital, Karratha Health Campus, Kununurra Hospital, Narrogin Hospital and Northam Hospital. Providing the best care All hospitals and Health Service Providers (HSPs) continue to examine and improve processes across the entire patient journey, from ED and the wards through to hospital discharge. In 2017–18, Western Australia was the best performing state for patients treated and admitted, transferred or discharged within four hours. What does this report show? This performance report shows how HSPs (CAHS, EMHS, NMHS, SMHS and WACHS) are progressing towards the WEAT. For February 2019: * The statewide number of ED attendances increased by 3.0% (2,157) from February 2018 (71,616) compared to February 2019 (73,773). * The statewide WEAT performance decreased from 76.7% for February 2018 compared to 75.4% for February 2019. * The table of WEAT performance by HSP and hospital (page 4) shows that: • At HSP level, CAHS (91.5%) achieved the target of 90%. • There was an improvement in WEAT performance from February 2018 when compared to February 2019 at the following hospitals: - Perth Children’s Hospital/PMH: 86.4% compared to 91.5%. - Fiona Stanley Hospital: 63.6% compared to 71.5%. - Peel Health Campus: 65.4% compared to 66.6%. - Rockingham General Hospital: 78.2% compared to 80.8%. - Albany Hospital: 82.9% compared to 86.4%. - Broome Hospital: 82.3% compared to 88.1%. Western Australia Emergency Access Target Report | 2 February 2019 | Western Australia Emergency Access Target Performance Monthly Report HSPs continue to drive improvement by implementing strategies that are based upon the foundations contained within the Western Australia Emergency Flow Report (May 2014) and more recently developed improvement strategies. The report also includes total ED attendances, which show trends in demand, and in hospital mortality for admissions from ED which is monitored to ensure patient care remains of the highest priority. Refer to the Notes section (page 34) and the WEAT Reporting Data Definitions and Business Rules (pages 35 to 37) for information on how to interpret the figures in this report. Western Australia Emergency Access Target Report | 3 February 2019 | Western Australia Emergency Access Target Performance Monthly Report WA Emergency Access Target Performance – February 2019 Percentage of Emergency Department Number of Emergency Department Attendances with Length of Attendances Health Service Provider Episode of Four Hours or Less Feb 2018 Feb 2019 Variance Feb 2018 Feb 2019 Variance# Child and Adolescent Health Service (CAHS) Perth Children’s Hospital/PMH+ 4,530 4,943 9.1% 86.4% 91.5% 5.1% Total CAHS 4,530 4,943 9.1% 86.4% 91.5% 5.1% East Metropolitan Health Service (EMHS) Royal Perth Hospital 5,686 5,810 2.2% 76.7% 65.4% 11.3% Armadale Health Service 4,601 4,734 2.9% 74.2% 72.5% 1.6% SJOG Midland Public Hospital 5,439 6,070 11.6% 72.7% 70.8% 2.0% Total EMHS 15,726 16,614 5.6% 74.6% 69.4% 5.2% North Metropolitan Health Service (NMHS) Sir Charles Gairdner Hospital 5,536 5,676 2.5% 69.4% 64.2% 5.2% King Edward Memorial Hospital 1,029 900 12.5% 92.1% 86.0% 6.1% Joondalup Health Campus 7,698 7,815 1.5% 72.9% 58.4% 14.5% Total NMHS 14,263 14,391 0.9% 73.0% 62.4% 10.5% South Metropolitan Health Service (SMHS) Fiona Stanley Hospital 8,242 8,501 3.1% 63.6% 75.1% 11.5% Rockingham General Hospital 4,391 4,340 1.2% 78.2% 80.8% 2.6% Peel Health Campus 3,244 3,439 6.0% 65.4% 66.6% 1.2% Total SMHS 15,877 16,280 2.5% 68.0% 74.8% 6.8% WA Country Health Service (WACHS) Albany Hospital 1,996 2,063 3.4% 82.9% 86.4% 3.5% Broome Hospital 1,834 1,838 0.2% 82.3% 88.1% 5.8% Bunbury Hospital 3,063 3,161 3.2% 74.8% 72.0% 2.8% Busselton Hospital 1,625 1,860 14.5% 87.1% 87.3% 0.2% Carvarvon Hospital 660 647 2.0% 88.9% 90.9% 1.9% Derby Hospital 1,239 932 24.8% 89.3% 95.6% 6.3% Esperance Hospital 731 687 6.0% 86.9% 84.1% 2.7% Geraldton Hospital 2,217 2,275 2.6% 85.6% 85.2% 0.3% Hedland Health Campus 1,880 1,915 1.9% 91.1% 91.7% 0.6% Kalgoorlie Hospital 1,978 2,033 2.8% 88.7% 84.5% 4.2% Karratha Health Campus/ 1,478 1,590 7.6% 84.8% 83.6% 1.2% Nickol Bay Hospital≠ Kununurra Hospital 1,024 1,011 1.3% 91.6% 93.2% 1.6% Narrogin Hospital 621 631 1.6% 88.1% 86.1% 2.0% Northam Hospital 874 902 3.2% 89.8% 87.8% 2.0% Total WACHS 21,220 21,545 1.5% 85.2% 85.3% 0.1% Statewide 71,616 73,773 3.0% 76.7% 75.4% 1.3% Statewide (excluding 55,235 56,449 2.2% 78.3% 78.7% 0.4% Contracted Health Entities*) Contracted Health Entities 16,381 17,324 5.8% 71.4% 64.4% 7.0% + Data prior to June 2018 represents Princess Margaret Hospital and data from July 2018 represents Perth Children’s Hospital. ≠ Data prior to August 2018 represents Nickol Bay Hospital and data from October 2018 represents Karratha Health Campus. Western Australia Emergency Access Target Report | 4 February 2019 | Child and Adolescent Health Service Child and Adolescent Health Service Perth Children's Hospital / Princess Margaret Hospital National Emergency Access Target Performance Quarterly Report | 5 February 2019 | Child and Adolescent Health Service Perth Children's Hospital/Princess Margaret Hospital for Children February 2019 Compared to February 2018 4,943 total emergency department attendances 9.1% increase or 413 more emergency department attendances 91.5% emergency department attendances with 5.1% increase in emergency department length of episode (LOE) of four hours or attendances with LOE of four hours or less1 less1 75.9% emergency department admissions with 13.4% increase in emergency department LOE of four hours or less1 admissions with LOE of four hours or less1 90.9% emergency department transfers with 39.3% increase in emergency department LOE of four hours or less1 transfers with LOE of four hours or less1 95.1% emergency department departures with 2.6% increase in emergency department LOE of four hours or less1 departures with LOE of four hours or less1 0.0% in-hospital mortality for admissions from 0.1% decrease in in-hospital mortality for emergency department admissions from emergency department Figure 1: Perth Children's Hospital/Princess Margaret Hospital – Percentage of ED attendances with length of episode of four hours or less 2018 2019 90% Target 110000%% 75% 75% 50% 50% 25% 25% 0% Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 0% Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec See Notes on page 34 for additional comments on the figures shown. Western Australia Emergency Access Target Report | 6 February 2019 | East Metropolitan Health Service East Metropolitan Health Service Royal Perth Hospital Armadale Health Service St John of God Midland Public Hospital Western Australia Emergency Access Target Report | 7 February 2019 | East Metropolitan Health Service Royal Perth Hospital February 2019 Compared to February 2018 5,810 total emergency department attendances 2.2% increase or 124 more emergency department attendances 65.4% emergency department attendances with 11.3% decrease in emergency department length of episode (LOE) of four hours or attendances with LOE of four hours or less1 less1 48.1% emergency department admissions with 15.1% decrease in emergency department LOE of four hours or less1 admissions with LOE of four hours or less1 39.4% emergency department transfers with 0.02% increase in emergency department LOE of four hours or less1 transfers with LOE of four hours or less1 80.1% emergency department departures with 10.2% decrease in emergency department LOE of four hours or less1 departures with LOE of four hours or less1 1.2% in-hospital mortality for admissions from 0.2% increase in in-hospital mortality for emergency department admissions from emergency department Figure 2: Royal Perth Hospital – Percentage of ED attendances with length of episode of four hours or less 2018 2019 90% Target 110000%% 7755%% 5500%% 25% 25% 0% 0% Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec See Notes on page 34 for additional comments on the figures shown.