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Elective Surgery Wait List Report WA Public Hospitals September 2017

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Elective Surgery Wait List Report WA Public Hospitals September 2017 Elective Surgery Wait List report WA health system better health * better care * better value © Department of Health, Western Australia 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 Perth 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, September 2017. Date Issued: 1 November 2017. Contents Abbreviations ....................................................................................................................... iv Notes .................................................................................................................................... v Glossary .............................................................................................................................. vii 1. Introduction ................................................................................................................... 1 2. Executive summary ........................................................................................................ 1 3. Cases on wait lists and waiting times ............................................................................. 2 3.1 Number of cases ....................................................................................................... 2 3.2 Waiting times ............................................................................................................ 4 3.3 WA Elective Services Target ...................................................................................... 3 4 Admissions from wait list ............................................................................................... 5 4.1 Number of cases ....................................................................................................... 5 Appendix A: Monthly ESWL by specialty tables .................................................................... 6 Appendix B: Statewide ESWL tables from January 2015 to current month .......................... 15 iii Abbreviations AIHW Australian Institute of Health and Welfare ASI Ambulatory Surgery Initiative CHEs 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 Joondalup Health Campus n number of cases PHC Peel Health Campus RFC ready for care TOPAS The Open Patient Administration System WA Western Australia 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 (CHEs), to the extent that CHEs provide health services to the State. Contracted health entities The term ‘CHEs’ refers to the following hospitals - Joondalup Health Campus, Peel Health Campus and St John of God Midland Public Hospital. Public hospitals Public hospitals include Armadale Hospital, Bentley Hospital, Fiona Stanley Hospital, Fremantle Hospital, King Edward Memorial Hospital, Osborne Park Hospital, Princess Margaret Hospital, Rockingham General Hospital, Royal Perth Hospital, Sir Charles Gairdner Hospital, Albany Hospital, Bridgetown Hospital, Broome Hospital, Bunbury Hospital, Busselton Hospital, Carnarvon Hospital, Collie Hospital, Derby Hospital, Esperance Hospital, Geraldton Hospital, Hedland Health Campus, Kalgoorlie Hospital, Katanning Hospital, Kununurra Hospital, Margaret River Hospital, Merredin Hospital, Narrogin Hospital, Nickol Bay Hospital, Northam Hospital and Warren Hospital. Kaleeya Hospital, Royal Perth Rehabilitation Hospital and Swan District Hospital are now closed, however historical data from these hospitals are contained within this report. 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 is 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. v Notes (continued) Data definitions Data in ESWL reports are based on Australian Institute of Health and Welfare (AIHW) reporting guidelines. 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. Cases For the purposes of this report, patients are referred to as cases. This is because a patient may be on an elective surgery waiting list for multiple procedures requiring admission on more than one occasion. For example, if a patient is on a waiting list twice, for two different procedures, this will be counted as two cases. Within boundary cases A patient who has been waiting less than the recommended period for their clinical urgency category is defined as being within boundary. The clinical urgency categories prioritise patients from least urgent (Category 3) to most urgent (Category 1), as determined by the treating Specialist. 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 Procedures that are clinically indicated within 365 days. vi Notes (continued) Admissions to hospital from the elective surgery wait lists All elective surgery admissions are reported, including Ambulatory Surgery Initiative (ASI) cases. Admitted coded cases are excluded where the wait listed procedure does not meet the AIHW definition of elective surgery. Admitted uncoded cases (i.e. where procedure name is not provided) are included if the wait list type is ‘Surgical’ and the wait list category is ‘Elective’. Number on wait list at the end of period On List cases (including ASI) are included where the patient’s 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 is ‘Surgical’ and the wait list category is ‘Elective’. Confidentiality Table cells are marked with (*) to indicate when data has been suppressed to protect patient and clinician confidentiality. This occurs when: the procedure or specialty in a hospital that has only one surgeon and the number of cases in that indicator procedure or specialty is less than 10, or any data cells with fewer than five cases. Then, all suppressed number of cases are included in the “Uncoded/other” procedure category to maintain the actual total number. Note: For Tables A-1 to A-21, the data suppression will not impact the calculation of the median waiting time. 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
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