Healthcare Quarterly
Elective Surgery
Nepean Blue Mountains Local Health District Performance Profiles
July to September 2018 PERFORMANCE PROFILES: Patients whoreceivedelectivesurgerybyurgencycategoryquarter,July2013toSeptember2018 Patients whoreceivedelectivesurgerybyurgencycategory: July toSeptember2018 Blue MountainsDistrictAnzacMemorialHospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 2 1 3
Staged Non-urgent Semi-urgent Urgent All categories Number of patients Urgent Staged Non-urgent Semi-urgent 120 150 60 30 90
Jan-Mar 10 0 1 3 Apr-Jun 10 1 3
2 Jul-Sep 10 1
Oct-Dec 10 2 1
Jan-Mar 11
Apr-Jun 11
Jul-Sep 11
Oct-Dec 11
Jan-Mar 12 1 (0%ofpatients) Elective Surgery u-e u-e u-e u-e u-e u-e u-e u-e Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep
0021 0221 0421 0621 2018 2017 2016 2015 2014 2013 2012 2011 2010 Apr-Jun 12 14 (7%ofpatients)
64 82 37 1 7101 97 97 61 110 213 72 72 180 74 63 210 49 29 168 28 129 48 49 85 42 40 117 46 17 93 77 Jul-Sep 12 1 2 1 14 0 20 0 27 2 22 17 0 26 1 20 6 10 8 Oct-Dec 12
Jan-Mar 13
Apr-Jun 13
Jul-Sep 13
Oct-Dec 13 July toSeptember 2018 Jan-Mar 14
Apr-Jun 14
Jul-Sep 14
Oct-Dec 14
Jan-Mar 15
Apr-Jun 15 213 patients Electivesurgeryperformed
Jul-Sep 15 97 (46%ofpatients)
Oct-Dec 15 101 (47%ofpatients)
Jan-Mar 16
Apr-Jun 16
Jul-Sep 16
Oct-Dec 16 www.bhi.nsw.gov.au
Jan-Mar 17
Apr-Jun 17
Jul-Sep 17
Oct-Dec 17
Jan-Mar 18
Apr-Jun 18
Jul-Sep 18 Same period last year 61 20 97 2 Staged Non-urgent Semi-urgent Urgent Page 1of6 Change since one yearago 1 -50% -30% 3 59% 4% 2 1
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Blue Mountains District Anzac Memorial Hospital Waiting time Percentage ofpatientswhoreceivedelectivesurgerybywaitingtime Percentage ofpatientswhoreceivedsurgerywithintheclinicallyrecommendedtimeframe July toSeptember2018 Blue MountainsDistrictAnzacMemorialHospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer PERFORMANCE PROFILES: 90th percentiletimetoreceivesurgery Median timetoreceivesurgery 90th percentiletimetoreceivesurgery Median timetoreceivesurgery 90th percentiletimetoreceivesurgery Median timetoreceivesurgery Urgent: 1 2 1 Semi-urgent: 2 3 Non-urgent: 3 Patients who
received surgery (%) Non-urgent Semi-urgent Urgent 100 20 40 60 80 0 06 010101020202030303030420 390 360 330 300 270 240 210 180 150 120 90 60 30 0 1 1 (days) 14 patients 2 2 1 1 101 patients 97 patients forpeoplewhoreceivedsurgerybyurgencycategory Recommended: 365days Recommended: 90days Recommended: 30days Elective Surgery * * Days onwaitinglist 21 days 43 days July toSeptember 2018 81 days 4 204 days Timewaitedtoreceiveelectivesurgery (days) www.bhi.nsw.gov.au 100% 100% 100% (this period) Peer group 145 330 74 27 12 37 Median 90th percentile Same period (same period This hospital last year) last year 98.4% 100% 100% 42 91 9 * * * Non-urgent Semi-urgent Urgent Page 2of6 (same period Peer group Peer group (this period) last year) 1 99.4% 99.4% 100% 147 315 76 40 27 11 2 1
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Blue Mountains District Anzac Memorial Hospital PERFORMANCE PROFILES: Varicose veinsstrippingandligation Total kneereplacement Total hipreplacement Tonsillectomy Septoplasty Prostatectomy Other -General Myringotomy Myringoplasty /Tympanoplasty Inguinal herniorrhaphy Hysteroscopy Haemorrhoidectomy Cystoscopy Coronary arterybypassgraft Cholecystectomy Cataract extraction Abdominal hysterectomy Median Vascular surgery Urology Plastic surgery Orthopaedic surgery Ophthalmology Neurosurgery Medical Gynaecology General surgery Ear, noseandthroatsurgery Cardiothoracic surgery Median July toSeptember2018 Blue MountainsDistrictAnzacMemorialHospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 5 5 waiting time waiting time (days) (days) forpatientswhoreceivedelectivesurgerybycommonprocedures forpatientswhoreceivedelectivesurgerybyspecialtyofsurgeon Elective Surgery * (6patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) * (<5patients) * (<5patients) n/a (0patients) n/a (0patients) * (6patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) * (5patients) n/a (0patients) n/a (0patients) 24 days(11patients) 42 days(29patients) 54 days(27patients) 54 days(97patients) 58 days(105patients) 66 days(19patients) 72 days(20patients) July toSeptember 2018 Timewaitedtoreceiveelectivesurgery www.bhi.nsw.gov.au 7 Same period Same period last year last year n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 61 61 70 63 49 30 * * * * * * Page 3of6 Peer group Peer group (this period) (this period) 164 274 189 173 173 312 239 n/a n/a n/a n/a n/a n/a n/a 42 62 64 40 70 28 24 29 98 13 35 49 * *
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Blue Mountains District Anzac Memorial Hospital PERFORMANCE PROFILES: Patients readyforsurgeryonwaitinglistbyurgencycategory: as at30thSeptember2018 Blue MountainsDistrictAnzacMemorialHospital: Patients notreadyforsurgery Patients readyforsurgeryonwaitinglistatendofquarter: Patients readyforsurgeryonwaitinglistatstartofquarter: July toSeptember2018 Blue MountainsDistrictAnzacMemorialHospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 2 1 3 Non-urgent Semi-urgent Urgent 1 2 1 Elective Surgery < 5 8 on waitinglistatendofquarter: 44 (34.4%) July toSeptember 2018 128 patients 165 patients Electivesurgerywaitinglist 84 (65.6%) 128 patients 19 patients Patients readyforelectivesurgery www.bhi.nsw.gov.au Same period Same period last year last year 107 6 -21% 162 158 48 19 7 Change since Change since Page 4of6 one yearago one yearago -21% -13% 4% 0% *
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Blue Mountains District Anzac Memorial Hospital PERFORMANCE PROFILES: Patients readyforelectivesurgerycommonprocedures Patients readyforelectivesurgerybyspecialtyofsurgeon: as at30thSeptember2018 Blue MountainsDistrictAnzacMemorialHospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer Varicose veinsstrippingandligation Total kneereplacement Total hipreplacement Tonsillectomy Septoplasty Prostatectomy Other -General Myringotomy Myringoplasty /Tympanoplasty Inguinal herniorrhaphy Hysteroscopy Haemorrhoidectomy Cystoscopy Coronary arterybypassgraft Cholecystectomy Cataract extraction Abdominal hysterectomy Vascular surgery Urology Plastic surgery Orthopaedic surgery Ophthalmology Neurosurgery Medical Gynaecology General surgery Ear, noseandthroatsurgery Cardiothoracic surgery All specialties Elective Surgery July toSeptember 2018 7 128 patients Patientsreadyforelectivesurgery sa 0Sp21 aetm atya Changesince Sametimelastyear As at30Sep2018 sa 0Sp21 aetm atya Changesince Sametimelastyear As at30Sep2018 128 < 5 17 48 17 15 20 15 63 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 www.bhi.nsw.gov.au 162 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 16 18 12 16 16 16 87 58 0 0 0 0 0 0 0 one yearago one yearago -17% -45% -21% Page 5of6 25% -6% 8% 6% 6% 9% n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a * *
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Blue Mountains District Anzac Memorial Hospital PERFORMANCE PROFILES: Patients readyforelectivesurgery,onthewaitinglistlongerthan12months as at30thSeptember2018 Blue MountainsDistrictAnzacMemorialHospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer All specialties For moreinformation: 8. Source: Note: 7. 6. 5. 4. 3. 2. 1. < 5 * Includes stagedprocedures,non-urgent cystoscopy,andpatientscurrentlynotavailableforpersonalreasons. January toMarch2018. For adescriptionoftheseproceduressee The proceduresincludedinthislistarewhichhighvolume; somemaybeassociatedwithlongwaitingperiods. and receivetheirsurgery.Thefinal10%ofpatientstookequaltoorlonger thanthe90thpercentile. This isthenumberofdaysittookfor90%patientswhoreceivedelective surgeryduringtheperiodtobeadmitted and receivetheirsurgery.Theotherhalftookequaltoorlongerthanthe mediantobeadmittedforsurgery. This isthenumberofdaysittookforhalfpatientswhoreceivedelective surgeryduringtheperiodtobeadmitted Excludes thetotalnumberofdayspatientwascodedas Including non-urgentcystoscopy. Excluding stagedproceduresandcystoscopy. Excluding stagedprocedures. Relevant graphsarealsosuppressed. Less thanfivepatients.Formeasuresbyurgencycategory,countsare included inanadjacentcategory. Suppressed duetosmallnumbersandprotectprivacy.Relevantgraphsarealsosuppressed. All percentagesroundedtowholenumbers andthereforepercentagesmaynotaddto100%. Waiting ListCollectionOn-LineSystem, NSWHealth For detailsofmethods,seethe Elective Surgery Elective SurgeryGlossaryofCommonProcedures,December2012. July toSeptember 2018 Technical Supplement:Electivesurgery measures, (extracted12October2018.). 'not readyforsurgery'. Patientsreadyforelectivesurgery www.bhi.nsw.gov.au sa 0Sp21 Sametimelastyear As at30Sep2018 0 Page 6of 0
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Blue Mountains District Anzac Memorial Hospital PERFORMANCE PROFILES: Patients whoreceivedelectivesurgerybyurgencycategoryquarter,July2013toSeptember2018 Patients whoreceivedelectivesurgerybyurgencycategory: July toSeptember2018 Hawkesbury DistrictHealthServices: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 2 1 3
Staged Non-urgent Semi-urgent Urgent All categories Number of patients Urgent Staged Non-urgent Semi-urgent 100 150 200 50
Jan-Mar 10 0 1 3 Apr-Jun 10 1 3
2 Jul-Sep 10 1
Oct-Dec 10 2 1
Jan-Mar 11
Apr-Jun 11
Jul-Sep 11
Oct-Dec 11
Jan-Mar 12 Elective Surgery u-e u-e u-e u-e u-e u-e u-e u-e Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep
0021 0221 0421 0621 2018 2017 2016 2015 2014 2013 2012 2011 2010 Apr-Jun 12 23 (6%ofpatients) 4 5 2 6 1 2 7 1 412 419 373 324 310 362 326 256 249
28 5 5 4 3 4 8 153 157 184 130 149 116 134 100 140 92 158 97 158 72 89 66 82 57 Jul-Sep 12 92 62 92 93 23 32 79 29 73 29 79 19 61 28 59 16 79 22 80 19 79 91
Oct-Dec 12
Jan-Mar 13
Apr-Jun 13 79 (19%ofpatients) Jul-Sep 13
Oct-Dec 13 Electivesurgeryperformed July toSeptember 2018 Jan-Mar 14
Apr-Jun 14
Jul-Sep 14
Oct-Dec 14 153 (37%ofpatients)
Jan-Mar 15 157 (38%ofpatients)
Apr-Jun 15 412 patients
Jul-Sep 15
Oct-Dec 15
Jan-Mar 16
Apr-Jun 16
Jul-Sep 16
Oct-Dec 16 www.bhi.nsw.gov.au
Jan-Mar 17
Apr-Jun 17
Jul-Sep 17
Oct-Dec 17
Jan-Mar 18
Apr-Jun 18
Jul-Sep 18 Same period last year 184 130 32 73 Staged Non-urgent Semi-urgent Urgent Page 1of6 Change since one yearago 1 -28% -17% 3 21% 8% 2 1
District group 1 hospitals (C1) Nepean Blue Mountains Local Health District Hawkesbury District Health Services Waiting time Percentage ofpatientswhoreceivedelectivesurgerybywaitingtime Percentage ofpatientswhoreceivedsurgerywithintheclinicallyrecommendedtimeframe July toSeptember2018 Hawkesbury DistrictHealthServices: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer PERFORMANCE PROFILES: 90th percentiletimetoreceivesurgery Median timetoreceivesurgery 90th percentiletimetoreceivesurgery Median timetoreceivesurgery 90th percentiletimetoreceivesurgery Median timetoreceivesurgery Urgent: 1 2 1 Semi-urgent: 2 3 Non-urgent: 3 Patients who
received surgery (%) Non-urgent Semi-urgent Urgent 100 20 40 60 80 0 06 010101020202030303030420 390 360 330 300 270 240 210 180 150 120 90 60 30 0 1 1 (days) 79 patients 2 2 1 1 153 patients 157 patients forpeoplewhoreceivedsurgerybyurgencycategory Recommended: 365days Recommended: 90days Recommended: 30days Elective Surgery * Days onwaitinglist 13 days 44 days Timewaitedtoreceiveelectivesurgery July toSeptember 2018 83 days 4 287 days (days) 359 days www.bhi.nsw.gov.au 99.3% 99.4% 100% (this period) Peer group 354 249 52 27 15 83 Median 90th percentile Same period (same period This hospital last year) last year 98.4% 100% 100% 360 289 87 55 8 * Non-urgent Semi-urgent Urgent Page 2of6 (same period Peer group Peer group (this period) last year) 98.1% 1 98.9% 99.7% 351 269 27 14 83 49 2 1
District group 1 hospitals (C1) Nepean Blue Mountains Local Health District Hawkesbury District Health Services PERFORMANCE PROFILES: Varicose veinsstrippingandligation Total kneereplacement Total hipreplacement Tonsillectomy Septoplasty Prostatectomy Other -General Myringotomy Myringoplasty /Tympanoplasty Inguinal herniorrhaphy Hysteroscopy Haemorrhoidectomy Cystoscopy Coronary arterybypassgraft Cholecystectomy Cataract extraction Abdominal hysterectomy Median Vascular surgery Urology Plastic surgery Orthopaedic surgery Ophthalmology Neurosurgery Medical Gynaecology General surgery Ear, noseandthroatsurgery Cardiothoracic surgery Median July toSeptember2018 Hawkesbury DistrictHealthServices: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 5 5 waiting time waiting time (days) (days) forpatientswhoreceivedelectivesurgerybycommonprocedures forpatientswhoreceivedelectivesurgerybyspecialtyofsurgeon Elective Surgery * (<5patients) n/a (0patients) * (9patients) * (<5patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) * (<5patients) * (8patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) 24 days(39patients) 25 days(40patients) 27 days(66patients) 34 days(183patients) 42 days(41patients) 44 days(23patients) 47 days(25patients) Timewaitedtoreceiveelectivesurgery July toSeptember 2018 193 days(10patients) 283 days(75patients) 322 days(15patients) 329 days(25patients) 341 days(37patients) 340 days(14patients) www.bhi.nsw.gov.au 7 Same period Same period last year last year 279 325 313 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 48 62 64 22 67 22 34 69 * * * * * * * Page 3of6 Peer group Peer group (this period) (this period) 260 285 265 247 169 249 263 331 n/a n/a n/a 74 64 22 52 50 77 84 58 40 28 31 43 73 53 73 * *
District group 1 hospitals (C1) Nepean Blue Mountains Local Health District Hawkesbury District Health Services PERFORMANCE PROFILES: Patients readyforsurgeryonwaitinglistbyurgencycategory: as at30thSeptember2018 Hawkesbury DistrictHealthServices: Patients notreadyforsurgery Patients readyforsurgeryonwaitinglistatendofquarter: Patients readyforsurgeryonwaitinglistatstartofquarter: July toSeptember2018 Hawkesbury DistrictHealthServices: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 2 1 3 Non-urgent Semi-urgent Urgent 1 2 1 Elective Surgery 8 5 (0.8%) on waitinglistatendofquarter: 101 (15.2%) Electivesurgerywaitinglist July toSeptember 2018 Patients readyforelectivesurgery 664 patients 694 patients 664 patients 131 patients 558 (84.0%) www.bhi.nsw.gov.au Same period Same period last year last year 472 8 14% 19% 581 585 0 22% 107 10 99 Change since Change since Page 4of6 one yearago one yearago -50% 18% 2%
District group 1 hospitals (C1) Nepean Blue Mountains Local Health District Hawkesbury District Health Services PERFORMANCE PROFILES: Patients readyforelectivesurgerycommonprocedures Patients readyforelectivesurgerybyspecialtyofsurgeon: as at30thSeptember2018 Hawkesbury DistrictHealthServices: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer Varicose veinsstrippingandligation Total kneereplacement Total hipreplacement Tonsillectomy Septoplasty Prostatectomy Other -General Myringotomy Myringoplasty /Tympanoplasty Inguinal herniorrhaphy Hysteroscopy Haemorrhoidectomy Cystoscopy Coronary arterybypassgraft Cholecystectomy Cataract extraction Abdominal hysterectomy Vascular surgery Urology Plastic surgery Orthopaedic surgery Ophthalmology Neurosurgery Medical Gynaecology General surgery Ear, noseandthroatsurgery Cardiothoracic surgery All specialties Elective Surgery Patientsreadyforelectivesurgery July toSeptember 2018 7 664 patients sa 0Sp21 aetm atya Changesince Sametimelastyear As at30Sep2018 sa 0Sp21 aetm atya Changesince Sametimelastyear As at30Sep2018 664 161 216 225 < 5 < 5 65 44 82 42 15 15 14 83 13 19 33 0 0 0 0 6 0 0 5 6 0 0 0 www.bhi.nsw.gov.au 247 164 581 < 5 < 5 < 5 < 5 < 5 < 5 < 5 16 11 25 18 86 47 21 37 35 19 37 33 93 6 0 0 0 0 0 one yearago one yearago 148% 137% 132% -17% -45% -24% -17% -21% -11% -24% -19% -33% Page 5of6 14% 14% -2% -6% -9% n/a n/a n/a n/a n/a n/a n/a n/a n/a * * *
District group 1 hospitals (C1) Nepean Blue Mountains Local Health District Hawkesbury District Health Services PERFORMANCE PROFILES: Patients readyforelectivesurgery,onthewaitinglistlongerthan12months as at30thSeptember2018 Hawkesbury DistrictHealthServices: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer All specialties For moreinformation: 8. Source: Note: 7. 6. 5. 4. 3. 2. 1. < 5 * Includes stagedprocedures,non-urgent cystoscopy,andpatientscurrentlynotavailableforpersonalreasons. January toMarch2018. For adescriptionoftheseproceduressee The proceduresincludedinthislistarewhichhighvolume; somemaybeassociatedwithlongwaitingperiods. and receivetheirsurgery.Thefinal10%ofpatientstookequaltoorlonger thanthe90thpercentile. This isthenumberofdaysittookfor90%patientswhoreceivedelective surgeryduringtheperiodtobeadmitted and receivetheirsurgery.Theotherhalftookequaltoorlongerthanthe mediantobeadmittedforsurgery. This isthenumberofdaysittookforhalfpatientswhoreceivedelective surgeryduringtheperiodtobeadmitted Excludes thetotalnumberofdayspatientwascodedas Including non-urgentcystoscopy. Excluding stagedproceduresandcystoscopy. Excluding stagedprocedures. Relevant graphsarealsosuppressed. Less thanfivepatients.Formeasuresbyurgencycategory,countsare included inanadjacentcategory. Suppressed duetosmallnumbersandprotectprivacy.Relevantgraphsarealsosuppressed. All percentagesroundedtowholenumbers andthereforepercentagesmaynotaddto100%. Waiting ListCollectionOn-LineSystem, NSWHealth For detailsofmethods,seethe Elective Surgery Elective SurgeryGlossaryofCommonProcedures,December2012. Patientsreadyforelectivesurgery July toSeptember 2018 Technical Supplement:Electivesurgery measures, (extracted12October2018.). 'not readyforsurgery'. www.bhi.nsw.gov.au sa 0Sp21 Sametimelastyear As at30Sep2018 0 Page 6of 0
District group 1 hospitals (C1) Nepean Blue Mountains Local Health District Hawkesbury District Health Services PERFORMANCE PROFILES: Patients whoreceivedelectivesurgerybyurgencycategoryquarter,July2013toSeptember2018 Patients whoreceivedelectivesurgerybyurgencycategory: July toSeptember2018 Lithgow Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 2 1 3
Staged Non-urgent Semi-urgent Urgent All categories Number of patients Urgent Staged Non-urgent Semi-urgent 120 150 60 30 90
Jan-Mar 10 0 1 3 Apr-Jun 10 1 3
2 Jul-Sep 10 1
Oct-Dec 10 2 1
Jan-Mar 11
Apr-Jun 11 Electivesurgeryperformed Jul-Sep 11
Oct-Dec 11
Jan-Mar 12 Elective Surgery 4 (2%ofpatients) u-e u-e u-e u-e u-e u-e u-e u-e Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep
0021 0221 0421 0621 2018 2017 2016 2015 2014 2013 2012 2011 2010 Apr-Jun 12 0 5 6 9 5 3 5 5 161 154 151 138 150 196 169 152 204 0 08 78 39 693 86 90 73 80 97 87 80 103
454741004 0 43 0 21 44 1 24 42 4 19 43 7 21 47 19 4 54 38 5 63 15 14 54 13 70 17 Jul-Sep 12
Oct-Dec 12
Jan-Mar 13 21 (13%ofpatients)
Apr-Jun 13
Jul-Sep 13
Oct-Dec 13 July toSeptember 2018 Jan-Mar 14 43 (27%ofpatients)
Apr-Jun 14
Jul-Sep 14
Oct-Dec 14
Jan-Mar 15
Apr-Jun 15 161 patients
Jul-Sep 15
Oct-Dec 15
Jan-Mar 16
Apr-Jun 16
Jul-Sep 16 93 (58%ofpatients)
Oct-Dec 16 www.bhi.nsw.gov.au
Jan-Mar 17
Apr-Jun 17
Jul-Sep 17
Oct-Dec 17
Jan-Mar 18
Apr-Jun 18
Jul-Sep 18 Same period last year 86 44 24 0 Staged Non-urgent Semi-urgent Urgent Page 1of6 Change since one yearago 1 -13% 3 -2% 8% 2 1
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Lithgow Hospital Waiting time Percentage ofpatientswhoreceivedelectivesurgerybywaitingtime Percentage ofpatientswhoreceivedsurgerywithintheclinicallyrecommendedtimeframe July toSeptember2018 Lithgow Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer PERFORMANCE PROFILES: 90th percentiletimetoreceivesurgery Median timetoreceivesurgery 90th percentiletimetoreceivesurgery Median timetoreceivesurgery 90th percentiletimetoreceivesurgery Median timetoreceivesurgery Urgent: 1 2 1 Semi-urgent: 2 3 Non-urgent: 3 Patients who
received surgery (%) Non-urgent Semi-urgent Urgent 100 20 40 60 80 0 06 010101020202030303030420 390 360 330 300 270 240 210 180 150 120 90 60 30 0 1 1 (days) 21 patients 2 2 1 1 93 patients 43 patients forpeoplewhoreceivedsurgerybyurgencycategory Timewaitedtoreceiveelectivesurgery Recommended: 365days Recommended: 90days Recommended: 30days Elective Surgery * * * Days onwaitinglist 15 days 42 days July toSeptember 2018 4 305 days (days) www.bhi.nsw.gov.au 97.7% 100% 100% (this period) Peer group 145 330 74 27 12 37 Median 90th percentile Same period (same period This hospital last year) last year 100% 100% 100% 185 65 13 * * * Non-urgent Semi-urgent Urgent Page 2of6 (same period Peer group Peer group (this period) last year) 1 99.4% 99.4% 100% 147 315 76 40 27 11 2 1
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Lithgow Hospital PERFORMANCE PROFILES: Varicose veinsstrippingandligation Total kneereplacement Total hipreplacement Tonsillectomy Septoplasty Prostatectomy Other -General Myringotomy Myringoplasty /Tympanoplasty Inguinal herniorrhaphy Hysteroscopy Haemorrhoidectomy Cystoscopy Coronary arterybypassgraft Cholecystectomy Cataract extraction Abdominal hysterectomy Median Vascular surgery Urology Plastic surgery Orthopaedic surgery Ophthalmology Neurosurgery Medical Gynaecology General surgery Ear, noseandthroatsurgery Cardiothoracic surgery Median July toSeptember2018 Lithgow Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 5 5 waiting time waiting time (days) (days) Timewaitedtoreceiveelectivesurgery forpatientswhoreceivedelectivesurgerybycommonprocedures forpatientswhoreceivedelectivesurgerybyspecialtyofsurgeon Elective Surgery n/a (0patients) n/a (0patients) n/a (0patients) * (6patients) * (<5patients) * (<5patients) * (<5patients) n/a (0patients) n/a (0patients) * (<5patients) * (5patients) n/a (0patients) * (9patients) n/a (0patients) * (7patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) n/a (0patients) 12 days(11patients) 48 days(16patients) 63 days(16patients) 72 days(38patients) July toSeptember 2018 164 days(21patients) 306 days(45patients) 307 days(42patients) 333 days(14patients) www.bhi.nsw.gov.au 7 Same period Same period last year last year 170 173 314 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 88 82 20 82 19 * * * * * * * * * Page 3of6 Peer group Peer group (this period) (this period) 164 274 173 189 173 312 239 n/a n/a n/a n/a n/a n/a n/a 62 64 40 70 28 24 42 49 29 98 13 35 * *
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Lithgow Hospital PERFORMANCE PROFILES: Patients readyforsurgeryonwaitinglistbyurgencycategory: as at30thSeptember2018 Lithgow Hospital: Patients notreadyforsurgery Patients readyforsurgeryonwaitinglistatendofquarter: Patients readyforsurgeryonwaitinglistatstartofquarter: July toSeptember2018 Lithgow Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 2 1 3 Non-urgent Semi-urgent Urgent 1 2 1 Electivesurgerywaitinglist Patients readyforelectivesurgery Elective Surgery 8 on waitinglistatendofquarter: 6 (2.3%) 25 (9.8%) July toSeptember 2018 256 patients 262 patients 256 patients 14 patients 225 (87.9%) www.bhi.nsw.gov.au Same period Same period last year last year 265 278 < 5 0 -15% 300 35 13 Change since Change since Page 4of6 one yearago one yearago -15% -24% -6% 8% *
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Lithgow Hospital PERFORMANCE PROFILES: Patients readyforelectivesurgerycommonprocedures Patients readyforelectivesurgerybyspecialtyofsurgeon: as at30thSeptember2018 Lithgow Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer Varicose veinsstrippingandligation Total kneereplacement Total hipreplacement Tonsillectomy Septoplasty Prostatectomy Other -General Myringotomy Myringoplasty /Tympanoplasty Inguinal herniorrhaphy Hysteroscopy Haemorrhoidectomy Cystoscopy Coronary arterybypassgraft Cholecystectomy Cataract extraction Abdominal hysterectomy Vascular surgery Urology Plastic surgery Orthopaedic surgery Ophthalmology Neurosurgery Medical Gynaecology General surgery Ear, noseandthroatsurgery Cardiothoracic surgery All specialties Patientsreadyforelectivesurgery Elective Surgery July toSeptember 2018 7 256 patients sa 0Sp21 aetm atya Changesince Sametimelastyear As at30Sep2018 sa 0Sp21 aetm atya Changesince Sametimelastyear As at30Sep2018 256 122 119 < 5 < 5 < 5 < 5 < 5 < 5 50 10 10 23 36 19 23 0 0 0 0 0 0 5 0 0 0 0 0 0 www.bhi.nsw.gov.au 128 300 123 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 < 5 17 50 67 41 16 10 30 0 0 0 7 0 one yearago one yearago -46% -15% -44% -37% -38% Page 5of6 35% -5% -3% 0% 0% n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a * * * * * * *
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Lithgow Hospital PERFORMANCE PROFILES: Patients readyforelectivesurgery,onthewaitinglistlongerthan12months as at30thSeptember2018 Lithgow Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer All specialties For moreinformation: 8. Source: Note: 7. 6. 5. 4. 3. 2. 1. < 5 * Includes stagedprocedures,non-urgent cystoscopy,andpatientscurrentlynotavailableforpersonalreasons. January toMarch2018. For adescriptionoftheseproceduressee The proceduresincludedinthislistarewhichhighvolume; somemaybeassociatedwithlongwaitingperiods. and receivetheirsurgery.Thefinal10%ofpatientstookequaltoorlonger thanthe90thpercentile. This isthenumberofdaysittookfor90%patientswhoreceivedelective surgeryduringtheperiodtobeadmitted and receivetheirsurgery.Theotherhalftookequaltoorlongerthanthe mediantobeadmittedforsurgery. This isthenumberofdaysittookforhalfpatientswhoreceivedelective surgeryduringtheperiodtobeadmitted Excludes thetotalnumberofdayspatientwascodedas Including non-urgentcystoscopy. Excluding stagedproceduresandcystoscopy. Excluding stagedprocedures. Relevant graphsarealsosuppressed. Less thanfivepatients.Formeasuresbyurgencycategory,countsare included inanadjacentcategory. Suppressed duetosmallnumbersandprotectprivacy.Relevantgraphsarealsosuppressed. All percentagesroundedtowholenumbers andthereforepercentagesmaynotaddto100%. Waiting ListCollectionOn-LineSystem, NSWHealth Patientsreadyforelectivesurgery For detailsofmethods,seethe Elective Surgery Elective SurgeryGlossaryofCommonProcedures,December2012. July toSeptember 2018 Technical Supplement:Electivesurgery measures, (extracted12October2018.). 'not readyforsurgery'. www.bhi.nsw.gov.au sa 0Sp21 Sametimelastyear As at30Sep2018 < 5 Page 6of 0
District group 2 hospitals (C2) Nepean Blue Mountains Local Health District Lithgow Hospital PERFORMANCE PROFILES: Patients whoreceivedelectivesurgerybyurgencycategoryquarter,July2013toSeptember2018 Patients whoreceivedelectivesurgerybyurgencycategory: July toSeptember2018 Nepean Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 2 1 3
Staged Non-urgent Semi-urgent Urgent All categories Number of patients Urgent Staged Non-urgent Semi-urgent 200 400 600 800
Jan-Mar 10 0 1 3 Apr-Jun 10 1 3
2 Jul-Sep 10 1
Oct-Dec 10 2 1
Jan-Mar 11
Apr-Jun 11 Electivesurgeryperformed Jul-Sep 11
Oct-Dec 11
Jan-Mar 12 14 (1%ofpatients) Elective Surgery u-e u-e u-e u-e u-e u-e u-e u-e Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep Jul-Sep
0021 0221 0421 0621 2018 2017 2016 2015 2014 2013 2012 2011 2010 Apr-Jun 12 ,2 ,1 ,9 ,3 ,6 ,1 ,7 ,4 1,768 1,742 1,673 1,510 1,765 1,636 1,597 1,411 1,623 6 13 95 23 514 35 714 33 662 404 32 689 501 56 585 400 29 800 375 617 32 410 588 31 445 486 506 167 642 462 472 4 3 7 4 9 1 5 4 636 544 551 518 499 545 471 432 342 Jul-Sep 12
Oct-Dec 12
Jan-Mar 13
Apr-Jun 13
Jul-Sep 13
Oct-Dec 13 404 (23%ofpatients) July toSeptember 2018 Jan-Mar 14
Apr-Jun 14
Jul-Sep 14
Oct-Dec 14 636 (36%ofpatients)
Jan-Mar 15 714 (40%ofpatients)
Apr-Jun 15 1,768 patients
Jul-Sep 15
Oct-Dec 15
Jan-Mar 16
Apr-Jun 16
Jul-Sep 16
Oct-Dec 16 www.bhi.nsw.gov.au
Jan-Mar 17
Apr-Jun 17
Jul-Sep 17
Oct-Dec 17
Jan-Mar 18
Apr-Jun 18
Jul-Sep 18 Same period last year 662 544 501 35 Staged Non-urgent Semi-urgent Urgent Page 1of6 Change since one yearago 1 -60% -19% 3 17% 8% 2 1
Principal referral hospitals (A1) Nepean Blue Mountains Local Health District Nepean Hospital Waiting time Percentage ofpatientswhoreceivedelectivesurgerybywaitingtime Percentage ofpatientswhoreceivedsurgerywithintheclinicallyrecommendedtimeframe July toSeptember2018 Nepean Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer PERFORMANCE PROFILES: 90th percentiletimetoreceivesurgery Median timetoreceivesurgery 90th percentiletimetoreceivesurgery Median timetoreceivesurgery 90th percentiletimetoreceivesurgery Median timetoreceivesurgery Urgent: 1 2 1 Semi-urgent: 2 3 Non-urgent: 3 Patients who
received surgery (%) Non-urgent Semi-urgent Urgent 100 20 40 60 80 0 06 010101020202030303030420 390 360 330 300 270 240 210 180 150 120 90 60 30 0 1 1 (days) 404 patients 2 2 1 1 714 patients 636 patients forpeoplewhoreceivedsurgerybyurgencycategory Timewaitedtoreceiveelectivesurgery Recommended: 365days Recommended: 90days Recommended: 30days Elective Surgery Days onwaitinglist 12 days 27 days 50 days July toSeptember 2018 88 days 4 308 days (days) 365 days 90.3% 94.5% www.bhi.nsw.gov.au 99.8% (this period) Peer group 188 358 25 84 42 9 Median 90th percentile Same period (same period This hospital last year) last year 82.9% 93.0% 100% 371 337 27 88 13 53 Non-urgent Semi-urgent Urgent Page 2of6 (same period Peer group Peer group (this period) last year) 94.1% 1 96.3% 99.8% 172 357 25 41 83 9 2 1
Principal referral hospitals (A1) Nepean Blue Mountains Local Health District Nepean Hospital PERFORMANCE PROFILES: Varicose veinsstrippingandligation Total kneereplacement Total hipreplacement Tonsillectomy Septoplasty Prostatectomy Other -General Myringotomy Myringoplasty /Tympanoplasty Inguinal herniorrhaphy Hysteroscopy Haemorrhoidectomy Cystoscopy Coronary arterybypassgraft Cholecystectomy Cataract extraction Abdominal hysterectomy Median Vascular surgery Urology Plastic surgery Orthopaedic surgery Ophthalmology Neurosurgery Medical Gynaecology General surgery Ear, noseandthroatsurgery Cardiothoracic surgery Median July toSeptember2018 Nepean Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 5 5 waiting time waiting time Timewaitedtoreceiveelectivesurgery (days) (days) forpatientswhoreceivedelectivesurgerybycommonprocedures forpatientswhoreceivedelectivesurgerybyspecialtyofsurgeon Elective Surgery * (<5patients) * (8patients) n/a (0patients) n/a (0patients) n/a (0patients) 14 days(43patients) 22 days(70patients) 29 days(67patients) 29 days(169patients) 32 days(43patients) 36 days(156patients) 45 days(326patients) 49 days(31patients) 52 days(208patients) 53 days(14patients) 57 days(340patients) 57 days(66patients) July toSeptember 2018 86 days(60patients) 95 days(14patients) 142 days(34patients) 225 days(289patients) 260 days(31patients) 269 days(18patients) 314 days(270patients) 320 days(126patients) 329 days(10patients) 335 days(68patients) 350 days(21patients) www.bhi.nsw.gov.au 7 Same period Same period last year last year 100 286 312 356 362 346 332 333 n/a n/a n/a 41 24 87 22 82 20 64 62 57 41 11 30 35 13 * * * Page 3of6 Peer group Peer group (this period) (this period) 158 162 124 138 238 314 320 328 169 20 58 48 46 18 75 45 16 28 21 59 94 73 31 29 35 31 23 29
Principal referral hospitals (A1) Nepean Blue Mountains Local Health District Nepean Hospital PERFORMANCE PROFILES: Patients readyforsurgeryonwaitinglistbyurgencycategory: as at30thSeptember2018 Nepean Hospital: Patients notreadyforsurgery Patients readyforsurgeryonwaitinglistatendofquarter: Patients readyforsurgeryonwaitinglistatstartofquarter: July toSeptember2018 Nepean Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer 2 1 3 Non-urgent Semi-urgent Urgent 1 2 1 Electivesurgerywaitinglist Patients readyforelectivesurgery Elective Surgery 8 on waitinglistatendofquarter: 56 (1.9%) 582 (19.6%) July toSeptember 2018 2,972 patients 2,786 patients 2,972 patients 279 patients 2,334 (78.5%) www.bhi.nsw.gov.au Same period Same period last year last year 2,429 2,925 2,963 474 286 60 Change since Change since Page 4of6 one yearago one yearago 23% -7% -4% -5% -2% 0%
Principal referral hospitals (A1) Nepean Blue Mountains Local Health District Nepean Hospital PERFORMANCE PROFILES: Patients readyforelectivesurgerycommonprocedures Patients readyforelectivesurgerybyspecialtyofsurgeon: as at30thSeptember2018 Nepean Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer Varicose veinsstrippingandligation Total kneereplacement Total hipreplacement Tonsillectomy Septoplasty Prostatectomy Other -General Myringotomy Myringoplasty /Tympanoplasty Inguinal herniorrhaphy Hysteroscopy Haemorrhoidectomy Cystoscopy Coronary arterybypassgraft Cholecystectomy Cataract extraction Abdominal hysterectomy Vascular surgery Urology Plastic surgery Orthopaedic surgery Ophthalmology Neurosurgery Medical Gynaecology General surgery Ear, noseandthroatsurgery Cardiothoracic surgery All specialties Patientsreadyforelectivesurgery Elective Surgery July toSeptember 2018 7 2,972 patients sa 0Sp21 aetm atya Changesince Sametimelastyear As at30Sep2018 sa 0Sp21 aetm atya Changesince Sametimelastyear As at30Sep2018 2,972 121 250 316 103 316 301 213 948 132 669 393 18 88 57 44 55 16 18 34 32 69 36 19 59 30 0 0 0 www.bhi.nsw.gov.au 2,963 147 282 448 258 126 847 119 803 295 394 < 5 < 5 82 76 55 70 54 81 70 25 17 19 91 13 23 33 0 8 one yearago one yearago 125% -10% -16% -11% -12% -17% -21% -20% -26% -16% -25% -16% -35% -19% Page 5of6 28% 17% 12% 46% 69% 30% 49% 13% 0% 6% 7% 3% n/a n/a n/a
Principal referral hospitals (A1) Nepean Blue Mountains Local Health District Nepean Hospital PERFORMANCE PROFILES: Patients readyforelectivesurgery,onthewaitinglistlongerthan12months as at30thSeptember2018 Nepean Hospital: More informationisavailableonBHI'sinteractiveportalatwww.bhi.nsw.gov.au/healthcare_observer All specialties For moreinformation: 8. Source: Note: 7. 6. 5. 4. 3. 2. 1. < 5 * Includes stagedprocedures,non-urgent cystoscopy,andpatientscurrentlynotavailableforpersonalreasons. January toMarch2018. For adescriptionoftheseproceduressee The proceduresincludedinthislistarewhichhighvolume; somemaybeassociatedwithlongwaitingperiods. and receivetheirsurgery.Thefinal10%ofpatientstookequaltoorlonger thanthe90thpercentile. This isthenumberofdaysittookfor90%patientswhoreceivedelective surgeryduringtheperiodtobeadmitted and receivetheirsurgery.Theotherhalftookequaltoorlongerthanthe mediantobeadmittedforsurgery. This isthenumberofdaysittookforhalfpatientswhoreceivedelective surgeryduringtheperiodtobeadmitted Excludes thetotalnumberofdayspatientwascodedas Including non-urgentcystoscopy. Excluding stagedproceduresandcystoscopy. Excluding stagedprocedures. Relevant graphsarealsosuppressed. Less thanfivepatients.Formeasuresbyurgencycategory,countsare included inanadjacentcategory. Suppressed duetosmallnumbersandprotectprivacy.Relevantgraphsarealsosuppressed. All percentagesroundedtowholenumbers andthereforepercentagesmaynotaddto100%. Waiting ListCollectionOn-LineSystem, NSWHealth Patientsreadyforelectivesurgery For detailsofmethods,seethe Elective Surgery Elective SurgeryGlossaryofCommonProcedures,December2012. July toSeptember 2018 Technical Supplement:Electivesurgery measures, (extracted12October2018.). 'not readyforsurgery'. www.bhi.nsw.gov.au sa 0Sp21 Sametimelastyear As at30Sep2018 50 Page 6of 59
Principal referral hospitals (A1) Nepean Blue Mountains Local Health District Nepean Hospital