PCMCH Maternal-Child Benchmarking Report 2013 Table of Contents ABOUT PCMCH ............................................................................................................................................................................. 1 EXECUTIVE SUMMARY ..................................................................................................................................................................... 2 Benchmarking Report Recommendations ............................................................................................................................. 3 Report Framework ................................................................................................................................................................. 5 List of Participating Hospitals and Acronyms ........................................................................................................................ 8 ACADEMIC HEALTH SCIENCES CENTRES................................................................................................................................ 11 HOSPITAL PROFILES ....................................................................................................................................................................... 12 Service Profiles ..................................................................................................................................................................... 12 Bed Profiles .......................................................................................................................................................................... 19 Emergency Department Profiles .......................................................................................................................................... 21 CLINICAL INDICATORS .................................................................................................................................................................... 24 1.0 Provincial Overview ....................................................................................................................................................... 24 1.1.1 PO – LHIN Map ............................................................................................................................................................................ 24 1.1.2 PO – Paediatric AHSCs Inpatient Discharges, Distributed by Hospital & LHIN ............................................................................ 25 1.1.3 PO – Paediatric AHSCs Inpatient Discharges by LHIN.................................................................................................................. 26 2.0 Hospital Descriptors ....................................................................................................................................................... 27 DES 2.1.1 – Inpatient and Same Day Surgery Volumes ........................................................................................................................ 27 DES 2.1.2 – Neonatal and Paediatric Inpatient Case Distribution ........................................................................................................ 28 DES 2.1.3 – Inpatient Case Age Profile ................................................................................................................................................. 29 DES 2.1.4 – Same Day Surgery (SDS) Age Profile ................................................................................................................................. 30 DES 2.1.5 – Total Average Length of Stay ............................................................................................................................................ 31 DES 2.1.6 – Total Average Length of Stay (Neonatal and Paediatric) .................................................................................................. 32 DES 2.1.7 – Total Average Inpatient Weight per Case ......................................................................................................................... 33 DES 2.1.8 – Percent Typical, Outlier & Other Inpatient Cases and Patient Days.................................................................................. 34 DES 2.1.9 – Percent “Transfer From” (Inpatient Cases and Patient Days) ........................................................................................... 35 DES 2.1.10 – Percent “Transfer To” (Inpatient Cases and Patient Days).............................................................................................. 36 DES 2.1.11 – Percent of Cases and Days with LOS > 30 Days ............................................................................................................... 37 3.0 Emergency Department Indicators ................................................................................................................................ 38 ED 3.1.1 – Hospital Emergency Department Patient Volumes ............................................................................................................ 38 ED 3.1.2 – Emergency Department Average Length of Stay in Hours – All Dispositions...................................................................... 39 ED 3.1.3 – Emergency Department Visits (Age Profile) ........................................................................................................................ 40 ED 3.1.4 – Emergency Department Visits by Triage Level .................................................................................................................... 41 ED 3.1.5 – Emergency Department Visits by Top 15 Main Problems ................................................................................................... 42 ED 3.1.6 – Emergency Department Visits Admitted ............................................................................................................................ 43 ED 3.1.7 – ED Visits Left Without Being Seen/Against Medical Advice or Other ................................................................................. 44 4.0 Clinical Efficiency Indicators .......................................................................................................................................... 45 4.1.1 CE – Top 10 CMGs Typical Inpatient Cases ................................................................................................................................. 45 4.1.2 CE – Top 10 CMGs Typical Inpatient Cases (One and Two Day Stay) .......................................................................................... 46 5.0 Quality and Utilization Management Indicators ....................................................................................................... 47 The most responsible diagnosis codes used in section 5.1 Appropriateness of Care are listed below: ............................ 47 QUM 5.1.1 - Percentage of Paediatric Admissions Treated for Asthma .............................................................................................. 48 QUM 5.1.2 – Percentage of Paediatric Admissions Treated for Diabetes ............................................................................................ 49 QUM 5.1.3 – Percentage of Paediatric Admissions Treated for Gastroenteritis .................................................................................. 50 OPERATIONAL EFFICIENCY INDICATORS ............................................................................................................................................. 51 6.1 Introduction ................................................................................................................................................................... 51 6.1.1 OE – Hospital Net Operating Costs (in millions) .......................................................................................................................... 53 6.1.2 OE – Hospital Net Operating Costs (Percent Distribution) .......................................................................................................... 54 6.1.3 OE – Compensation Costs per Functional Centre Category ........................................................................................................ 55 6.1.4 OE – Compensation Costs as a Percent of Total per Functional Centre Category ...................................................................... 56 6.1.5 OE – Hours per Functional Centre Category ............................................................................................................................... 57 6.1.6 OE – Hours as a Percent of Total per Functional Centre Category .............................................................................................. 58 6.2 Operational Efficiency Comparisons .............................................................................................................................. 59 6.2.1 OE – Inpatient Only Net Operating Costs per Inpatient RIW Weighted Case ............................................................................. 59 6.2.2 OE – Inpatient Net Operating Costs per Inpatient Day ............................................................................................................... 60 6.2.3 OE – Inpatient Detailed Compensation and Hours Indicators .................................................................................................... 61 6.2.4 OE – Inpatient Med/Surg Only Detailed Indicators