May 2020 Management Data Report Heat Map: Performance RAG Rating Finance RAG Rating HR - Absence HR - Indicative Workforce Red > 10% of target Red • ≥ 0.75% Red • > 4% Red • > 1.5% of target Amber > 5% ≤ 10% of target Yellow/Amber • ≥ 0.10% to < 0.75% Amber • ≥3.7%<4.0% Amber • > 0.5% ≤1.5% of target Green ≤ 5% of target Green • < 0.10% Green • <3.7% Green • ≤ 0.5% of target Grey No result expected Contents Acute Hospitals Services Population Health and Wellbeing Human Resources Contd. NSP KPI Overview 4 Population Health and Wellbeing (metrics reported quarterly) - Absence by HSE, S38 & Staff Category 172 Inpatient Cases 7 Community Healthcare Services Absence by Staff Category 173 Daycase Cases 9 Primary Care 94 EWTD Acute Hospitals 175 Emergency Discharges 11 Social Inclusion 101 EWTD Mental Health Services 176 Elective Discharges 13 Palliative Care 102 EWTD Disability Services 177 Maternity Discharges 15 Mental Health 104 Data Coverage Issues Inpatient Discharges greater or equal to 75 years 16 CAMHS Waiting List 110 Data coverage issues Acute Services 179 Daycase Discharges greater or equal to 75 years 18 Older Persons 111 Data coverage issues Community Healthcare 180 Level GI 20 Disabilities 115 Level of dialysis 22 National Services Level of chemotherapy 23 PCRS 117 Inpatient & Day Case Profiles 25 National Screening Service All Emergency Presentations 27 National Screening Service 120 New ED Attendances 29 Finance Return ED Attendances 30 Gross Debtor Days for Private Charges 122 Injury Units 31 Service Level Arrangements 123 Other Emergency Presentations 32 Net Expenditure by Division 124 Births 33 Hospital Groups 125 Outpatient Attendances (New & Return) 34 Private Hospitals 127 Adult In Patient Waiting List 36 CHOs 128 Adult Day Case Waiting List 38 National Ambulance Service 130 Child In Patient Waiting List 40 Health and Wellbeing 131 Child Day Case Waiting List 41 Primary Care (Total) by CHO 132 Outpatient Waiting List 42 Primary Care (excl Social Inclusion) by CHO 133 GI Waiting List 44 Primary Care (Social Inclusion) by CHO 134 Urgent Colonoscopy 46 Mental Health by CHO 135 ED PET - All Patients 48 Social Care (Older Persons Total) by CHO 136 ED PET - Patients over 75 years 49 Palliative Care by CHO 137 ED Patients who leave before completion of Treatment 50 Social Care (Older Persons) by CHO 138 ALOS excluding over 30 days 51 Social Care (Disabilities) by CHO 139 Medical ALOS 53 Health and Wellbeing by CHO 140 AMAU within 6 hours 54 Support Services 141 Acute Medical Admissions 55 PCRS 142 Emergency Re-admissions: Medical 57 Demand Led Schemes 143 Surgical ALOS 59 Net Expenditure (Pay) 144 Surgical Day of Admission 61 Net Expenditure (Non Pay) 145 Laparoscopic Cholecystectomy 63 Net Expenditure (Income) 146 Emergency Re-admissions: Surgical 65 Income by Category 147 Delayed Transfer of Care 67 Agency & Overtime 148 HCAI - Hospital acquired S. Aureus infection 69 Human Resources HCAI - Hospital acquired C. Difficile infection 71 Employment by Service Area 152 Number of New Cases of CPE 73 Employment by Staff Group 153 Cancer rapid access within recommended timeframe 75 Employment by Administration/Section 38 154 Cancer Services - Breast 77 Employment by HG & CHO 156 Cancer Services - Lung 82 Absence Rate by HG & CHO 167 Cancer Services - Prostate 85 Absence Rate by Staff Category 168 Cancer Services - Radiotherapy 87 Absence Rate by Staff Category, HG, CHO & National Services 169 NAS 89 Absence Rate by HG, CHO & National Services 170 National Ambulance Service NSP KPI Overview 91 Absence Rate by Hospital 171 Data used in this report refers to the latest performance information available at the time of publication Acute Services 3 NSP KPI Overview Reporting Period May 2020 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Performance Activity / KPI Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Feb-20 Mar-20 Apr-20 May-20 Discharge Activity Inpatient M-1M 635,532 645,037 213,568 182,433 -14.6% 211,134 -13.6% 49,693 45,142 34,861 0 Inpatient Weighted Units M-1M 641,751 636,992 209,145 191,932 -8.2% 209,285 -8.3% 49,978 53,159 34,757 0 Day case (includes dialysis) M-1M 1,106,491 1,142,437 379,298 301,644 -20.5% 363,119 -16.9% 90,445 69,969 44,701 0 Day case Weighted Units (includes dialysis) M-1M 1,085,928 1,066,369 354,223 284,867 -19.6% 356,489 -20.1% 87,883 65,115 37,825 0 Total inpatient and day cases M-1M 1,742,023 1,787,474 592,866 484,077 -18.3% 574,253 -15.7% 140,138 115,111 79,562 0 Emergency inpatient discharges M-1M 438,544 444,606 149,459 128,293 -14.2% 147,641 -13.1% 33,823 31,488 25,939 0 Elective inpatient discharges M-1M 89,238 91,635 28,494 23,330 -18.1% 28,153 -17.1% 7,803 5,974 2,679 0 M-1M New KPI 2020 N/A N/A Elective day case discharges Maternity inpatient discharges M-1M 107,750 108,796 35,615 30,810 -13.5% 35,340 -12.8% 8,067 7,680 6,243 0 Inpatient discharges ≥75 years M-1M 126,385 126,828 42,222 37,833 -10.4% 41,613 -9.1% 10,010 9,782 6,907 0 Day case discharges ≥75 years M-1M 204,226 209,249 68,555 55,497 -19.0% 65,318 -15.0% 16,589 12,605 8,404 0 Level of GI scope activity M-1M 107,069 108,260 35,953 23,501 -34.6% 35,019 -32.9% 8,758 4,847 777 0 Level of dialysis activity M-1M 177,341 180,969 60,231 60,256 0.0% 57,991 3.9% 14,597 15,507 14,651 0 Level of chemotherapy (R63Z) and other Neoplastic Dis, MINC (R62C) M-1M 220,989 226,443 75,064 62,601 -16.6% 72,129 -13.2% 16,575 15,053 11,915 0 Emergency Care New ED attendances M 1,251,506 1,283,401 541,931 415,942 -23.2% 525,913 -20.9% 92,749 73,367 65,672 85,964 Return ED attendances M 111,252 116,180 49,064 34,485 -29.7% 46,301 -25.5% 8,112 5,804 4,887 6,981 Injury unit attendances M 99,222 103,215 42,992 33,763 -21.5% 39,842 -15.3% 7,898 6,082 4,760 6,524 Other emergency presentations M 44,456 44,916 19,498 14,479 -25.7% 18,907 -23.4% 3,396 2,761 2,059 2,479 Births M Total no. of births M 59,406 59,247 24,605 23,290 -5.3% 24,096 -3.3% 4,347 4,789 4,491 4,685 Outpatients No. of new and return outpatient attendances M 3,354,919 3,318,604 1,393,915 1,140,842 -18.2% 1,409,426 -19.1% 273,890 209,571 166,908 190,937 New: Return Ratio (excluding obstetrics, warfarin and haematology clinics) M 2.6 1 : 2.4 2.4 3.0 25.0% 2.6 15.4% 2.6 3.0 4.3 3.6 Activity Based Funding (MFTP) model HIPE Completeness – Prior month: % of cases entered into HIPE M-1M 89% 95% 95% 87% -8.4% 91% -4.4% 84% 88% 87% Inpatient, Day Case and Outpatient Waiting Times % of adults waiting <15 months for an elective procedure (inpatient) M 86.0% 85% 85% 83.6% -1.6% 84.5% -1.1% 85.2% 85.8% 85.1% 83.6% % of adults waiting <15 months for an elective procedure (day case) M 93.3% 95% 95% 91.9% -3.3% 92.4% -0.5% 92.4% 93.1% 92.8% 91.9% % of children waiting <15 months for an elective procedure (inpatient) M 91.9% 95% 95% 87.3% -8.1% 90.2% -3.2% 90.9% 90.2% 89.4% 87.3% % of children waiting <15 months for an elective procedure (day case) M 85.4% 90% 90% 83.8% -6.9% 83.0% 1.0% 84.1% 85.3% 85.1% 83.8% % of people waiting <52 weeks for first access to OPD services M 68.9% 80% 80% 63.9% -20.1% 68.9% -7.2% 69.0% 68.4% 65.8% 63.9% Colonoscopy / Gastrointestinal Service % of people waiting <13 weeks following a referral for routine colonoscopy or OGD M 55.4% 65% 65% 35.5% -45.4% 50.4% -29.5% 47.6% 54.0% 47.5% 35.5% No. of new people waiting > four weeks for access to an urgent colonoscopy M 209 0 0 2804 61 4496.7% 0 328 1408 1066 Emergency Care and Patient Experience Time % of all attendees at ED who are discharged or admitted within six hours of registration M 62.7% 65% 65% 69.1% 6.3% 61.2% 71.3% 80.0% 75.9% % of all attendees at ED who are discharged or admitted within nine hours of registration M 78.1% 80% 80% 83.4% 4.2% 76.4% 85.8% 92.2% 89.8% % of ED patients who leave before completion of treatment M 6.6% <6.5% <6.5% 4.3% -14.0% 6.3% 4.1% 2.0% 2.6% % of all attendees at ED who are in ED <24 hours M 96.1% 97% 97% 97.4% 0.4% 95.1% 98.5% 99.8% 99.6% % of all attendees aged 75 years and over at ED who are discharged or admitted within six hours of registration M 40.6% 95% 95% 51.1% -46.2% 39.4% 53.3% 66.4% 62.7% % of all attendees aged 75 years and over at ED who are discharged or admitted within nine hours of registration M 58.7% 99% 99% 69.7% -29.6% 56.7% 73.3% 85.9% 82.2% % of all attendees aged 75 years and over at ED who are discharged or admitted within 24 hours of registration M 90.2% 99% 99% 93.6% -5.5% 87.5% 96.3% 99.7% 99.4% Length of Stay ALOS for all inpatient discharges excluding LOS over 30 days M-1M 4.8 ≤4.8 ≤4.8 5.0 4.2% 4.7 6.4% 4.9 5.6 4.6 0.0 4 NSP KPI Overview Reporting Period May 2020 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Performance Activity / KPI Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Feb-20 Mar-20 Apr-20 May-20 Medical Medical patient average length of stay M-1M 7.2 ≤7.0 ≤7.0 7.7 10.0% 6.8 13.2% 7.5 9.2 6.6 0.0 % of medical patients who are discharged or admitted from AMAU within six hours AMAU registration M 61.9% 75% 75% 66.1% -11.9% 61.1% 8.2% 61.7% 68.5% 75.4% 67.3% % of all medical admissions via AMAU M-1M 32.5% 45% 45% 29.0% -35.6% 31.2% -7.1% 34.1% 25.7% 20.4% 0.0% % of emergency re-admissions for acute medical conditions to the same hospital within 30 days of discharge M-1M 11.4% ≤11.1% ≤11.1% 11.2% 0.9% 11.7% -4.3% 10.8% 10.6% 9.6% 0.0% Surgery Surgical patient average length of stay M-1M 5.5 ≤5.2 ≤5.2 6.4 23.1% 5.2 23.1% 4.8 8.6 9.7 0.0 % of elective surgical inpatients who had principal procedure conducted on day of admission M-1M 75.2% 82% 82% 75.5% -7.9% 75.4% 0.1% 81.7% 72.0% 61.1% 0.0% % day case rate for Elective Laparoscopic Cholecystectomy M-1M 43.6% 60% 60% 46.1% -23.2% 46.6% -1.1% 45.5% 49.0% 0.0% 0.0% % of surgical re-admissions to the same hospital within 30 days of discharge M-1M 1.9% ≤2% ≤2% 1.8% -10.0% 2.1% -14.3% 1.7% 1.7% 1.5% 0.0% Delayed Transfers of Care No.