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Activity Based Funding / Management Performance Management Report Performance Indicator Definitions Manual (Outcome Measures) 2014-2015 Version 1.2 22 October 2014 improving care | managing resources | delivering quality © Department of Health, State of Western Australia (2014). Copyright to this material produced by the Western Australian Department of Health belongs to the State of Western Australia, under the provisions of the Copyright Act 1968 (C’wth Australia). Apart from any fair dealing for personal, academic, research or non-commercial use, no part may be reproduced without written permission of the Performance Activity and Quality Division, Western Australian Department of Health. The Department of Health is under no obligation to grant this permission. Please acknowledge the WA Department of Health when reproducing or quoting material from this source. Important Disclaimer: All information and content in this Material is provided in good faith by the WA Department of Health, and is based on sources believed to be reliable and accurate at the time of development. The State of Western Australia, the WA Department of Health and their respective officers, employees and agents, do not accept legal liability or responsibility for the Material, or any consequences arising from its use. Table of Contents ACKNOWLEDGMENTS ...................................................................................................................................................... I ACRONYMS ..................................................................................................................................................................... II 1. INTRODUCTION ....................................................................................................................................................... 1 2. DATA DEFINITIONS .................................................................................................................................................. 9 2.1 EFFECTIVENESS ACCESS (EA) PIS .................................................................................................................................. 9 EA1A-E: PROPORTION OF EMERGENCY DEPARTMENT PATIENTS SEEN WITHIN RECOMMENDED TIMES A) % TRIAGE CAT 1 – 2 MINS; B) % TRIAGE CAT 2- 10MIN; C) % TRIAGE CAT 3- 30 MIN; D) % TRIAGE CAT 4- 60 MIN; E) % TRIAGE CAT 5- 2 HOURS ........................................................................................................................................................................... 10 EA2: NEAT PERCENTAGE OF ED ATTENDANCES WITH LOE LESS THAN OR EQUAL TO 4 HOURS ......................................... 13 EA3: AVERAGE OVERDUE WAIT TIME OF ELECTIVE SURGERY CASES WAITING BEYOND THE CLINICALLY RECOMMENDED TIME, BY URGENCY CATEGORY ....................................................................................................................................... 16 EA4.A: ELECTIVE SURGERY PATIENTS TREATED WITHIN BOUNDARY TIMES: A) % CAT 1 < 30DAYS ................................... 21 EA4.B: ELECTIVE SURGERY PATIENTS TREATED WITHIN BOUNDARY TIMES: B) % CAT 2 < 90DAYS ................................... 25 EA4.C: ELECTIVE SURGERY PATIENTS TREATED WITHIN BOUNDARY TIMES C) % CAT 3 <365 DAYS ................................... 29 EA5: PERCENTAGE OF SELECTED ELECTIVE CANCER SURGERY CASES (FOR BLADDER CANCER, BOWEL CANCER AND BREAST CANCER) TREATED WITHIN BOUNDARY TIME .................................................................................................... 33 2.2 EFFECTIVENESS APPROPRIATENESS (EAP) PIS ............................................................................................................ 36 EAP1: RATE OF SELECTED POTENTIALLY PREVENTABLE CHRONIC CONDITION HOSPITALISATIONS (FOR SPECIFIED CHRONIC CONDITIONS) .................................................................................................................................................. 37 2.3 EFFECTIVENESS QUALITY (EQ) PIS ............................................................................................................................. 41 EQ1: AGE-ADJUSTED RATE (AAR) OF AVOIDABLE DEATHS ............................................................................................... 42 EQ3: STAPHYLOCOCCUS AUREUS BACTERAEMIA (SAB) INFECTIONS PER 10,000 PATIENT DAYS ....................................... 46 EQ5: HOSPITAL STANDARDISED MORTALITY RATIO ........................................................................................................ 50 EQ7: DEATH IN LOW-MORTALITY DRGS .......................................................................................................................... 53 EQ8.A: IN HOSPITAL MORTALITY RATES FOR AMI ........................................................................................................... 87 EQ8.B: IN HOSPITAL MORTALITY RATES FOR STROKE ...................................................................................................... 92 EQ8.C: IN HOSPITAL MORTALITY RATES FOR FRACTURED NECK OF FEMUR ..................................................................... 95 EQ8.D: IN HOSPITAL MORTALITY RATES FOR PNEUMONIA ............................................................................................. 99 EQ10: RATE OF TOTAL HOSPITAL READMISSIONS WITHIN 28 DAYS TO AN ACUTE DESIGNATED MENTAL HEALTH INPATIENT UNIT ........................................................................................................................................................... 103 2.4 EFFICIENCY INPUTS PER OUTPUT UNIT (EI) KPIS ...................................................................................................... 107 EI1.A: VOLUME OF ACTIVITY WEIGHTED YEAR TO DATE: INPATIENTS (VARIANCE FROM TARGET) ................................. 108 EI1.B: VOLUME OF ACTIVITY WEIGHTED YEAR TO DATE ED ATTENDANCES (VARIANCE FROM TARGET) ......................... 120 EI1.C: VOLUME OF ACTIVITY WEIGHTED YEAR TO DATE: OUTPATIENTS (VARIANCE FROM TARGET) .............................. 127 EI3: AVERAGE COST PER TEST PANEL FOR PATHWEST ................................................................................................... 138 EI6: YTD DISTANCE OF NET COST OF SERVICE TO BUDGET ............................................................................................. 139 EI8: RATIO OF ACTUAL COST OF SPECIFIED PUBLIC HOSPITAL SERVICES COMPARED WITH THE STATE EFFICIENT PRICE . 142 2.5 EQUITY ACCESS (EQA) KPIS ..................................................................................................................................... 155 EQA1: STANDARDISED MORTALITY RATIO (SMR) OF DEATHS AMONG ABORIGINAL CHILDREN (0-4 YEARS) AND NON- ABORIGINAL CHILDREN (0-4 YEARS) ............................................................................................................................. 156 EQA4: PROPORTION OF ELIGIBLE POPULATION RECEIVING DENTAL SERVICES FROM SUBSIDISED DENTAL PROGRAMS BY GROUP (AGED 16 YEARS AND OVER, AGED 65 YEARS AND OVER, AND TOTAL ABORIGINAL POPULATION) .................... 159 2.6 SUSTAINABILITY WORKFORCE (SW) KPIS ................................................................................................................ 163 SW3: STAFF TURNOVER ............................................................................................................................................... 164 2.7 PROCESSES CODING (PC) KPIS ................................................................................................................................. 167 PC2A&B: PERCENTAGE OF CASES CODED AND AVAILABLE FOR REPORTING WITHIN:(A) 2 WEEKS AND (B) 4 WEEKS ...... 168 2.8 PROCESSES FINANCE (PF) KPIS ................................................................................................................................ 176 PF2: MANUALLY CORRECTED PAYROLL ERRORS (UNDERPAYMENTS) ............................................................................ 177 PF3: AVAILABILITY OF INFORMATION COMMUNICATION TECHNOLOGY (ICT) SERVICES: PERCENTAGE OF SERVICE CALLS RESOLVED AT FIRST POINT OF CONTACT ...................................................................................................................... 179 Acknowledgments The production of the report would not have been possible without the support of the key stakeholders and data providers from the Department of Health. Their advice and provision of information is greatly appreciated. Acknowledgement is also extended to key staff within the Performance Reporting Branch and Information Development and Management Branch, Performance Activity and Quality Division. I Acronyms AAR Age Adjusted Rate ABF Activity Based Funding ABF/M Activity Based Funding/Management ABM Activity Based Management ABS Australian Bureau of Statistics ACEM Australasian College of Emergency Medicine ACHS Australian Council on Health Standards ACIR Australian Childhood Immunisation Register AIHW Australian Institute of Health and Welfare ATSI Aboriginal Torres Strait Islander BMI Body Mass Index CAHS Child and Adolescent Health Service CEO Chief Executive Officer COAG Council of Australian Governments DOH Department of Health DOHA Department of Health and Ageing DOSA Day of Surgery Admission ED Emergency Department EDDC Emergency Department Data Collection EDIS Emergency Department Information System ESWL Elective Surgery Waiting List eWAU emergency department Weighted Activity Unit FTE Full Time Equivalent GL General Ledger HIN Health Information