Quarterly public hospitals performance report...Quarterly public hospitals performance report...

Quarterly public hospitals performance report December quarter 2008

health • care • people

Quarterly public hospitals performance report

December quarter 2008

Queensland Health




Throughout the December quarter 2008 in Queensland Health – statewide

• 380,973peopleweretreatedinemergencydepartments

• 218,908peoplewereadmittedtohospital

• 109,442peoplewereadmittedforsamedaycareinahospital

• 109,466peoplehadahospitaladmissionofmorethanoneday

• 790,577outpatientserviceswereprovided

• 30,593peoplereceivedelectivesurgery

• 10,475babieswereborn

Compared with the same quarter last year (December quarter 2007)

• Numbertreatedinemergencydepartments: 11,744extrapatients,ora3.2percentincrease

• Numberadmittedtohospital: 12,284extrapatients,ora5.9percentincrease

• Numberadmittedforsamedaycareinahospital: 8,520extrapatients,ora8.4percentincrease

• Numberadmittedformorethanoneday: 3,764extrapatients,ora3.6percentincrease

• Numberofoutpatientservices: 3,074extraservices,ora0.4percentincrease

• Numberreceivingelectivesurgery: 1,950extrapatients,ora6.8percentincrease

• Numberofbabiesborn: 482extrababies,ora4.8percentincrease


hospital snapshot, December quarter 2008 hospital/peer group

people treated in emergency departments

people admitted to hospital outpatient services* people received elective surgery babies born

largerandspecialised

CairnsBaseHospital 10,925 11,913 36,476 1,337 622GoldCoastHospital# 26,653 19,058 53,323 3,076 813MaterChildren’sPublicHospital 9,561 3,997 13,765 906 0NambourHospital 8,824 9,958 25,091 1,689 536PrincessAlexandraHospital 11,327 19,282 83,874 3,815 0RoyalBrisbane&Women’sHospital 17,668 19,132 85,630 3,468 1,048RoyalChildren’sHospital 6,733 4,895 21,066 1,015 0ThePrinceCharlesHospital 8,317 7,248 23,934 1,011 0TownsvilleHospital 14,973 12,071 44,226 1,333 557total 114,981 107,554 387,385 17,650 3,576

medium

BundabergHospital 9,259 6,004 12,955 542 290CabooltureHospital 10,459 5,279 14,738 573 508HerveyBayHospital 8,937 4,674 7,832 171 259IpswichHospital 11,821 8,109 23,212 1,490 612LoganHospital 14,957 8,583 24,769 1,071 905MackayBaseHospital 9,018 6,591 14,733 526 255MaryboroughHospital 5,740 1,248 5,444 199 0MaterAdultPublicHospital 7,816 5,290 16,550 1,282 0MaterMothers'PublicHospital - 3,431 14,146 321 1,133MountIsaHospital 8,272 1,385 5,715 140 143QEIIJubileeHospital 8,874 4,457 14,157 889 0RedcliffeHospital 12,523 7,980 18,726 1,151 410RedlandHospital 10,424 4,996 14,300 462 493RockhamptonBaseHospital 10,259 6,067 15,952 645 326ToowoombaHospital 10,373 7,319 36,644 1,071 461total 138,732 81,413 239,873 10,533 5,795

smaller

AthertonHospital 3,502 1,468 3,444 96 56BeaudesertHospital 3,933 639 1,429 3 0CaloundraHospital 5,518 2,297 5,236 423 0EmeraldHospital 4,106 718 1,214 63 90GladstoneHospital 5,912 1,522 7,008 140 135GympieHospital 5,666 2,644 5,546 157 95InnisfailHospital 2,523 902 3,000 46 61KingaroyHospital 3,195 757 2,421 23 112total 34,355 10,947 29,298 951 549

Queensland reporting hospitals (n=32) 288,068 199,914 656,556 29,134 9,920

Surgery Connect patients - - 1,459 -

Queensland total (n=173) 380,973 218,908 790,577 30,593 10,475

Source: MonthlyActivityCollection,QueenslandHealth;HBCISElectiveAdmissionsModule;QueenslandHealthEmergencyDepartmentDataCollection;SurgeryConnect.Note: 2008/2009dataispreliminaryandsubjecttochange.#GoldCoastHospitalincludesdataforRobinaHospital.*FromtheDecember2008Quarter,Dentaloccasionsofserviceareexcluded.


hospital emergency departments

Source:QueenslandHealthEmergencyDepartmentDataCollection.Notes:*RobinaandThePrinceCharlesHospitalsarenewemergencydepartmentsservicingtheGoldCoastandNorthBrisbaneareas.TheyareadditionalreportinghospitalsfromDecemberquarter2007/2008.#Caloundra,Gladstone,GympieandMaryboroughHospitalsarenewreportinghospitalsfrom Decemberquarter2007/2008.2008/2009dataispreliminaryandsubjecttochange.

DuringtheDecemberquarter2008270,809patientsattendedQueensland’s27biggesthospitalemergencydepartments.

facility December quarter 2008

September quarter 2008

December quarter

2007

variance Dec qtr 2007 to

Dec qtr 2008

BundabergHospital 9,259 9,106 9,061 2.2%CabooltureHospital 10,459 10,575 10,194 2.6%CairnsBaseHospital 10,925 10,985 10,453 4.5%CaloundraHospital 5,518 5,319 5,773 -4.4%GladstoneHospital 5,912 6,112 5,955 -0.7%GoldCoastHospital 15,865 15,386 15,475 2.5%GympieHospital 5,666 5,654 5,323 6.4%HerveyBayHospital 8,937 8,952 8,382 6.6%IpswichHospital 11,821 12,480 11,971 -1.3%LoganHospital 14,957 15,021 15,664 -4.5%MackayBaseHospital 9,018 9,449 9,406 -4.1%MaryboroughHospital 5,740 6,048 5,777 -0.6%MaterAdultPublicHospital 7,816 8,236 7,350 6.3%MaterChildren’sPublicHospital 9,561 11,341 9,620 -0.6%MountIsaHospital 8,272 8,861 8,913 -7.2%NambourHospital 8,824 8,742 8,750 0.8%PrincessAlexandraHospital 11,327 11,684 11,727 -3.4%QEIIJubileeHospital 8,874 9,146 8,241 7.7%RedcliffeHospital 12,523 13,105 11,940 4.9%RedlandHospital 10,424 10,500 9,925 5.0%RobinaHospital 10,788 10,482 7,944 35.8%RockhamptonBaseHospital 10,259 9,757 9,761 5.1%RoyalBrisbane&Women’sHospital 17,668 17,858 18,597 -5.0%RoyalChildren’sHospital 6,733 7,888 7,071 -4.8%ThePrinceCharlesHospital 8,317 8,817 6,319 31.6%ToowoombaHospital 10,373 10,790 11,275 -8.0%TownsvilleHospital 14,973 14,815 14,875 0.7%

Queenslandreportinghospitals(n=27) 270,809 277,109 265,742 1.9%

Queensland total (n = 173) 380,973 391,123 369,229 3.2%

Emergency department attendances, Queensland

Emergency department attendances by quarter, Queensland

21reportinghospitalsRobinaandThePrinceCharlesHospitals*newreportinghospitals#

300,000

250,000

200,000

150,000

100,000

Dec

04

Mar

05

Jun

05

Sep

05

Dec

05

Mar

06

Jun

06

Sep

06

Dec

06

Mar

07

Jun

07

Sep

07

Dec

07

Mar

08

Jun

08

Sep

08

Dec

08

— — — — — — — — — — — — — — — — —

emer

genc

y de

part

men

t att

enda

nces

quarter


Comparedwiththesamequarterlastyear(Decemberquarter2007)significantincreasesinthenumberofemergencydepartmentattendanceswerereportedat:

• RobinaHospital,35.8percent• ThePrinceCharlesHospital,31.6percent• QEIIJubileeHospital,7.7percent• HerveyBayHospital,6.6percent• GympieHospital,6.4percentTheemergencydepartmentsatRobinaandThePrinceCharlesHospitalsopenedinSeptember2007andMay2007respectivelyandattendancepatternshadnotstabilisedbytheDecemberquarter2007.

Source:QueenslandHealthEmergencyDepartmentDataCollection.Notes:*RobinaandThePrinceCharlesHospitalsarenewemergencydepartmentsservicingtheGoldCoastandNorthBrisbaneareas.TheyareadditionalreportinghospitalsfromDecemberquarter2007/2008.#Caloundra,Gladstone,GympieandMaryboroughHospitalsarenewreportinghospitalsfrom Decemberquarter2007/2008.2008/2009dataispreliminaryandsubjecttochange.

Source:QueenslandHealthEmergencyDepartmentDataCollection.Notes: 2008/2009dataispreliminaryandsubjecttochange.

Patientsseeninemergencydepartmentsarecategorised(‘triaged’)accordingtourgency.Therearenationalthresholdsforthetimepeopleshouldbeseen.DuringtheDecemberquarter2008,Queenslandhospitalsfellshortofthetargetinfourofthefivecategories,howeverperformancehasimprovedsincethesamequarteroflastyear.

triage categoryrecommended treament time

performance target

Queensland performance



1-resuscitation immediate 100% 98% 99%2-emergency within10minutes 80% 71% 73%3-urgent within30minutes 75% 57% 60%4-semi-urgent within60minutes 70% 60% 62%5-non-urgent within120minutes 70% 84% 85%

Emergency department performance, Queensland

Emergency department performance by quarter, Queensland

per c

ent s

een

in ti

me

— category 1 — category 2 — category 3 — category 4 — category 5

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

Dec

04

Mar

05

Jun

05

Sep

05

Dec

05

Mar

06

Jun

06

Sep

06

Dec

06

Mar

07

Jun

07

Sep

07

Dec

07

Mar

08

Jun

08

Sep

08

Dec

08

— — — — — — — — — — — — — — — — —

quarter


emergency admissions

Emergency admissions, Queensland2004/2005 to 2008/2009

Emergency admissions, Queensland2004/2005 to 2008/2009

Emergencyadmissions,thefirstpriorityofthehospitalsystem,areincreasingrapidlywellinexcessofpopulationgrowth.

ThesurgeonswhoworkinQueenslandpublichospitalsprovidebothelectiveandemergencyservices.Increasesinemergencyadmissionsresultinsomeelectivecasesbeingdelayedassurgeonsmustgiveprioritytoemergencycases.Medical(non-surgical)emergenciesusebedswhichmightotherwisehavebeenavailableforelectivesurgerypatients.Forthesereasons,whenemergencydemandincreases,theabilityofhospitalstoprovideelectivesurgeryservicesiscompromised.

Duringthefirstfivemonthsof2008/2009,therehasbeena5percentincreaseinthenumberofemergencyadmissions(161,649)fromthatreportedduringthesameperiodlastyear(153,965).

Whencomparingemergencyadmissionsoverthepastfiveyears,therehasbeena20percentincreaseinemergencyadmissionsreportedduringthefirstfivemonthsof2008/2009comparedtothatreportedduringthesameperiodin2004/2005.

Source: QueenslandHospitalAdmittedPatientDataCollection(QHAPDC)Note: 2008/2009dataispreliminaryandsubjecttochange. DataforDecember2008wasnotavailableatthetimeofpublishing.

Source: QueenslandHospitalAdmittedPatientDataCollection(QHAPDC)Note: 2008/2009dataispreliminaryandsubjecttochange.DataforDecember2008wasnotavailableatthetimeofpublishing.

month 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009July 26475 27,762 28,026 30,962 32,824August 26876 28,409 29,619 31,683 33,417September 27370 27,171 28,532 29,580 32,284October 27467 27,407 28,898 31,564 32,649November 26590 26,380 27,452 30,176 30,475December 26951 27,498 27,009 30,173January 25972 26,795 28,219 31,263February 24826 24,582 26,372 30,370March 27061 27,501 29,912 32,028April 26722 26,532 27,788 30,939May 27314 28,020 30,503 31,389June 26683 27,405 28,077 30,473

annual total 320,307 325,462 340,407 370,600 161,649

num

ber o

f em

erge

ncy

adm

issi

ons 34,000

32,000

30,000

28,000

26,000

24,000

July

Aug

ust

Sep

tem

ber

Oct

ober

Nov

embe

r

Dec

embe

r

Janu

ary

Febr

uary

Mar

ch

Apr

il

May

June

2008/2009

2007/2008

2006/2007

2005/2006

2004/2005

month


hospital activity

IntheDecemberquarterof2008,therewasatotalof218,908admittedpatientepisodesofcare,upby12,284,or5.9percent,fromthesameperiodlastyear.

Therewere109,442admittedpatientepisodesinvolvingsamedaycareduringtheDecemberquarterof2008andthisrepresentedan8.4percentincreaseoverthesameperiodlastyear.

Thenumberofadmittedpatientepisodesinvolvingovernightorlongerstayswas109,466andthiswasanincreaseof3.6percentwhencomparedtothesameperiodlastyear.

Source: 2004/2005to2007/2008-QueenslandHospitalAdmittedPatientDataCollection(QHAPDC)2008/2009-MonthlyActivityCollection,QueenslandHealth.

Note: 2008/2009dataispreliminaryandsubjecttochange.

Admissions to Queensland public acute hospitals by month 2004/2005 to 2008/2009

month 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009

July 62,640 63,261 63,995 69,878 74,623August 62,497 65,691 68,592 72,375 73,048September 62,306 62,374 64,649 66,708 73,134October 62,161 63,635 66,144 71,690 75,859November 62,044 63,120 66,086 69,879 71,202December 59,792 60,718 61,390 65,055 71,847January 54,088 57,248 61,030 65,619February 58,087 59,100 62,256 69,115March 63,734 66,919 69,999 70,122April 61,704 58,335 63,197 70,502May 62,740 65,799 70,895 71,820June 61,443 63,766 65,992 68,670

annual total 733,236 749,966 784,225 831,433 439,713

Source: 2004/2005to2007/2008-QueenslandHospitalAdmittedPatientDataCollection(QHAPDC)2008/2009-MonthlyActivityCollection,QueenslandHealth.

Note: 2008/2009dataispreliminaryandsubjecttochange.

Admissions to Queensland public acute hospitals by month2004/2005 to 2008/2009

num

ber o

f pat

ient

s ad

mitt

ed

75,000

70,000

65,000

60,000

55,000

50,000

2008/2009

2007/2008

2006/2007

2005/2006

2004/2005

July

Aug

ust

Sep

tem

ber

Oct

ober

Nov

embe

r

Dec

embe

r

Janu

ary

Febr

uary

Mar

ch

Apr

il

May

June

month


elective surgery performance

Elective surgery - patients waiting, Queensland

Elective surgery - patients treated, Queensland

reporting date category 1 category 2 category 3 all categories

totalwaiting number‘longwaits’ totalwaiting number‘longwaits’ totalwaiting number‘longwaits’ totalwaiting number‘longwaits’

1January2008 2,833 394 14,428 3,248 18,215 5,445 35,476 9,087

1April2008 3,343 412 14,533 3,433 18,154 5,131 36,030 8,976

1July2008 3,192 254 14,620 3,135 16,891 4,121 34,703 7,510

1October2008 3,007 183 15,063 3,179 16,444 3,762 34,514 7,124

1January2009 2,593 259 15,447 3,401 16,217 3,414 34,257 7,074

reporting quarter category 1 category 2 category 3 all categories

numbertreated*

ofthepatientstreated,halfweretreatedwithinthismanydays

ofthepatientstreated,90%weretreatedwithinthismanydays

numbertreated*



numbertreated*



totaltreated*

totaltreatedincludingSurgeryConnect

Decemberquarter2007 11,424 12 35 12,226 37 109 4,929 79 365 28,579 28,643

Marchquarter2008 10,037 12 39 11,638 43 122 4,718 96 390 26,393 26,919

Junequarter2008 11,636 13 39 12,771 41 119 5,232 98 407 29,639 33,732

Septemberquarter2008 12,124 12 35 13,436 41 111 5,204 87 336 30,764 32,030

Decemberquarter2008 11,902 12 35 12,519 41 113 4,713 84 361 29,134 30,593

Source: HBCISElectiveAdmissionsModule.Notes: 2008/2009dataispreliminaryandsubjecttochange.

Source: QueenslandHospitalAdmittedPatientDataCollection(QHAPDC);HBCISElectiveAdmissionsModule.Notes: Themedianwait(orthe50thpercentile)representsthenumberofdayswithinwhichhalfofthepatientstreatedreceivedtheirsurgery.The90thpercentilewait showsthat90%ofthepatientstreatedreceivedtheirsurgerywithinthespecifiednumberofdays.2008/2009dataispreliminaryandsubjecttochange.*ExcludesSurgeryConnect

DuringtheDecemberquarter2008,29,134electivesurgerypatientsweretreatedinQueenslandpublichospitals,a1.9percentincreaseonthesamequarteroflastyear.

Inaddition,theSurgeryConnectprogramfacilitatedthetreatmentof1,459patientsresultinginatotalof30,593electivesurgerypatientstreatedinQueenslandduringtheDecemberquarter2008,a6.8percentincreaseonthesamequarterlastyear.


Elective surgery performance by surgical specialty

surgical specialty

as at 1 January 2009 as at 1 October 2008 as at 1 January 2008

numbertreatedDecember

quarter2008

numberwaiting

number‘longwait'

numbertreatedSeptemberquarter2008

numberwaiting

number‘longwait'

numbertreatedDecember

quarter2007

numberwaiting

number‘longwait'

cardio-thoracicsurgery 1,154 452 39 1,140 528 56 1,129 528 60

ENTsurgery 2,710 3,775 868 2,670 3,861 971 2,487 3,748 1,294

generalsurgery 7,076 7,623 1,539 7,688 7,761 1,492 6,945 7,488 1,801

gynaecology 3,879 3,113 111 4,313 2,963 100 4,089 3,264 226

neurosurgery 410 393 92 443 357 95 390 446 207

ophthalmology 2,352 3,375 415 2,441 3,500 339 2,266 3,936 579

orthopaedicsurgery 6,066 9,168 2,236 6,328 9,151 2,206 5,832 8,773 2,434

other 526 304 15 522 291 32 551 419 43

plastic&reconstructivesurgery 2,063 2,677 1,050 2,218 2,753 1,139 2,030 3,273 1,482

urology 2,398 2,857 540 2,425 2,808 479 2,309 2,989 703

vascularsurgery 500 520 169 576 541 215 551 612 258

Queensland reporting hospitals 29,134 34,257 7,074 30,764 34,514 7,124 28,579 35,476 9,087

Queensland including Surgery Connect 30,593 34,257 7,074 32,030 34,514 7,124 28,643 35,476 9,087

WhencomparingwiththeDecemberquarter2008withsamequarterlastyearsignificantincreasesinthenumbersofelectivesurgerypatientstreatedwerereportedat:

• GladstoneHospital,75.0percent• EmeraldHospital,37.0percent• MaterMothers’PublicHospital,32.1percent• GympieHospital,27.6percent• MountIsaHospital,20.7percent

Source: HBCISElectiveAdmissionsModule,SurgeryConnect.Notes: 2008/2009dataispreliminaryandsubjecttochange.

Elective surgery - patients treated


hospital/peer group category 1 category 2 category 3

numbertreated

ofthepatientstreated,halfweretreatedwithinthis

manydays

ofthepatientstreated,90%weretreatedwithinthis

manydays

numbertreated


manydays


manydays

numbertreated


manydays


manydays


CairnsBaseHospital 503 14 44 721 54 166 113 123 451GoldCoastHospital 1,429 9 28 1,250 55 127 397 83 362MaterChildren’sPublicHospital 192 14 31 340 77 113 374 15 197NambourHospital 893 5 37 633 44 183 163 140 454PrincessAlexandraHospital 2,042 11 34 1,398 36 192 375 182 413RoyalBrisbane&Women’sHospital 1,555 14 39 1,581 28 116 332 159 378RoyalChildren’sHospital 386 11 37 515 38 161 114 159 929ThePrinceCharlesHospital 414 4 21 386 40 100 211 49 144TownsvilleHospital 431 12 30 713 27 83 189 104 292total 7,845 11 35 7,537 40 133 2,268 98 374BundabergHospital 322 19 37 175 59 89 45 153 370

medium

CabooltureHospital 217 16 27 270 32 77 86 64 128HerveyBayHospital 61 21 44 63 85 134 47 97 320IpswichHospital 569 9 33 828 27 80 93 377 937LoganHospital 265 9 28 576 33 69 230 104 247MackayBaseHospital 249 15 28 183 54 103 94 99 336MaryboroughHospital 102 19 39 70 62 93 27 52 322MaterAdultPublicHospital 420 10 29 374 53 112 488 63 388MaterMothers'PublicHospital 155 15 30 94 27 57 72 43 203MountIsaHospital 35 2 28 77 48 67 28 113 362QEIIJubileeHospital 250 20 38 387 43 114 252 85 223RedcliffeHospital 454 14 38 575 27 102 122 85 333RedlandHospital 161 12 26 217 32 56 84 27 80RockhamptonBaseHospital 325 16 33 262 71 193 58 79 224ToowoombaHospital 275 15 36 493 56 92 303 113 392total 3,860 14 33 4,644 42 93 2,029 85 365

smaller

AthertonHospital 25 6 26 46 20 69 25 29 76BeaudesertHospital 0 - - 0 - - 3 - -CaloundraHospital 63 25 38 159 33 118 201 75 133EmeraldHospital 9 12 27 12 42 96 42 28 141GladstoneHospital 38 22 42 31 59 90 71 5 127GympieHospital 32 16 22 58 47 86 67 34 329InnisfailHospital 25 10 30 17 30 77 4 0 0KingaroyHospital 5 13 13 15 28 98 3 42 84total 197 18 35 338 41 99 416 49 139

Queensland reporting hospitals (n = 32) 11,902 12 35 12,519 41 113 4,713 84 361

Queensland including Surgery Connect 12,019 - - 13,038 - - 5,536 - -

Elective surgery - patients treated December quarter 2008, Queensland

Source: QueenslandHospitalAdmittedPatientDataCollection(QHAPDC),HBCISElectiveAdmissionsModule,SurgeryConnect.Notes: 2008/2009dataispreliminaryandsubjecttochange.#GoldCoastHospitalincludesdataforRobinaHospital.


Source: HBCISElectiveAdmissionsModule.Notes: #GoldCoastHospitalincludesdataforRobinaHospital.

Elective surgery - patients waiting, all categories, Queenslandhospital/peer group as at 1 January 2009 as at 1 October 2008 as at 1 January 2008

numberwaiting number‘longwait' numberwaiting number‘longwait' numberwaiting number‘longwait'


CairnsBaseHospital 1,274 381 1,350 326 1,513 540GoldCoastHospital 2,771 485 2,851 406 2,448 451MaterChildren’sPublicHospital 1,139 182 1,165 194 835 166NambourHospital 1,670 431 1,787 437 2,009 632PrincessAlexandraHospital 4,110 1,433 4,323 1,572 4,366 1,687RoyalBrisbane&Women’sHospital 4,716 1,554 4,824 1,709 5,676 2,132RoyalChildren’sHospital 1,265 384 1,367 481 1,625 561ThePrinceCharlesHospital 719 41 720 58 769 58TownsvilleHospital 1,958 131 1,631 148 2,017 416total 19,622 5,022 20,018 5,331 21,258 6,643

medium

BundabergHospital 778 56 823 3 842 127CabooltureHospital 316 0 347 0 336 2HerveyBayHospital 391 62 364 39 223 23IpswichHospital 2,977 502 2,740 501 2,716 586LoganHospital 1,035 103 1,119 73 1,099 58MackayBaseHospital 445 40 470 32 473 67MaryboroughHospital 281 21 255 15 269 51MaterAdultPublicHospital 1,675 505 1,713 535 1,793 610MaterMothers'PublicHospital 177 0 164 3 149 7MountIsaHospital 207 3 191 12 163 23QEIIJubileeHospital 1,643 186 1,435 131 1,274 165RedcliffeHospital 821 70 897 69 789 85RedlandHospital 436 0 333 0 368 15RockhamptonBaseHospital 1,157 363 1,300 250 1,821 536ToowoombaHospital 1,383 31 1,427 39 1,201 60total 13,722 1,942 13,578 1,702 13,516 2,415

smaller

AthertonHospital 36 8 32 8 45 7BeaudesertHospital 3 0 0 0 0 0CaloundraHospital 439 66 477 48 305 12EmeraldHospital 37 0 37 0 17 1GladstoneHospital 109 2 110 6 105 1GympieHospital 188 1 164 2 118 0InnisfailHospital 35 4 27 6 18 0KingaroyHospital 66 29 71 21 94 8total 913 110 918 91 702 29

Queensland reporting hospitals (n = 32) 34,257 7,074 34,514 7,124 35,476 9,087

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patients waiting number waiting greater than 365 days

quarter

page 12


Patients waiting for elective surgery as at 1 January 2009

Category 1

At1January2009,259Category1patientswerewaitinglongerthan30daysfortheirsurgery.

Thisisanincreaseof41.5percentfromthe183‘longwaits’at1October2008,anda34.3percentdecreasefromthe394‘longwaits’at1January2008.

Category 3

At1January2009,3,414Category3patientswerewaitinglongerthan365daysfortheirsurgery.

Thisisadecreaseof9.3percentfromthe3,762‘longwaits’at1October2008,anda37.3percentdecreasefromthe5,445‘longwaits’at1January2008.

Category 2

At1January2009,3,401Category2patientswerewaitinglongerthan90daysfortheirsurgery.

Thisisanincreaseof7.0percentfromthe3,179‘longwaits’at1October2008,anda4.7percentincreasefromthe3,248‘longwaits’at1January2008.

Source: HBCISElectiveAdmissionsModule.

At1January2009,atotalof7,074patientswerewaitinglongerthanclinicallydesirablefortheirsurgery.Thisisadecreaseof0.7percentfromthe7,124‘longwaits’at1October2008,anda22.2percentdecreasefromthe9,087‘longwaits’at1January2008.

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quarter



Surgery Connect

surgical specialty patients referred patients treated amount committed 2008/09 to

date

Decemberquarter2008

2008/09yeartodate

Decemberquarter2008

2008/09yeartodate

cardio-thoracicsurgery 0 0 0 0 $0ENTsurgery 80 445 178 313 $743,000generalsurgery#

190 (5) 579 (7) 223 (16) 641 (119) $2,046,200gynaecology 0 1 0 7 $3,500neurosurgery 5 19 5 28 $119,000ophthalmology 694 1,800 602 1265 $5,433,500orthopaedicsurgery 169 413 174 293 $6,137,500other# 48 (33) 402 (295) 172 (156) 470 (373) $808,300plastic&reconstructivesurgery 22 54 17 54 $123,500urology 25 66 38 55 $420,800vascularsurgery 34 95 50 65 $332,500

Surgery Connect total 1,267 3,874 1,459 3,191 $16,167,800

SurgeryConnectisaQueenslandHealthinitiativewhichprovidesanopportunitytotreatadditionalelectivesurgerypatientswhohavebeenwaitinglongerthanclinicallyrecommended.

Thestrategyenablespatientstoreceivetheirtreatmentthroughtheprivatehospitalsectorwherethedemandfortheseservicesinpublichospitalscannotbemetinternally.

Thisinnovativestrategyalsohelpseasetheburdenonourpublichospitalswhichareexperiencingincreasingdemands.

ThroughouttheDecemberquarter2008,1,459peopleweretreatedthroughtheSurgeryConnectprogram.Thisincludes172gastroscopyandcolonoscopyassessments.

Thehighestnumbersof‘longwait’patientsasat1January2009wereinthefollowingspecialties:• orthopaedicsurgery,2,236• generalsurgery,1,539• plasticandreconstructivesurgery,1,050The‘longwaits’inthesespecialtiesaccountfor68percentofthetotal‘longwait’numberat1January2009.

patients waiting

surg

ical

spe

cial

ty

category 1 category 2 category 3

cardio-thoracic

ENT

general

gynaecology

neurosurgery

ophthalmology

orthopaedic

other

plastic & reconstructive

urology

vascular

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000

Patients waiting for elective surgery as at 1 January 2009 by surgical specialty

Source: HBCISElectiveAdmissionsModule.

Outcomes of the Surgery Connect initiative

Notes: #Figuresinbracketsdenotepatientswhowerereferredforandassessedbygastroscopyandcolonoscopywithin‘general’and‘other’surgicalspecialties.2008/2009dataispreliminaryandsubjecttochange..


elective surgery - waiting list reduction plan

QueenslandHealthisparticipatingintheCommonwealthGovernment’sElectiveSurgeryWaitingListReductionPlan,whichaimstoreducethebacklogofpatientswaitinglongerthanclinicallyrecommendedforelectivesurgery.

Queenslandsignedthestage1agreementtotreat4,000patientsduring2008additionaltothenumbertreatedduring2007,tobeachievedthroughinternalcapacityexpansionandprivateoutsourcinginitiativesatacostof$27.6million.

Atthecompletionofstage1,theagreedtargethasbeenexceeded,with5,928additionalpatientsreceivingtreatment.

Source: HBCISElectiveAdmissionsModule,SurgeryConnect.

Theincreaseinactivityhasresultedinadecreaseinthenumberofpatientswaitinglongerthantheclinicallyrecommendedtime.At1January2009,therewere7,074‘longwait’patients,adecreasefromthe9,087‘longwait’patientsat1January2008.

year

patients treated

2007

2008

100,000 105,000 110,000 115,000 120,000 125,000ce

nsus

dat

e

1 Jan 2008

1 Jan 2009

‘long wait’ patients

0 2,000 4,000 6,000 8,000 10,000


Staff baseline June 2005

now December 2008

increase to now

percentage increase to now

Medical(inclVMOs) 4,552 6,267 1,715 38%

Nursing 21,911 27,689 5,778 26%

HealthPractitioners/Professional/Technical 6,934 9,068 2,134 31%

Source: HRInformatics.

Note: Awardandcareerstructurechangesrequiredthetransitionofadditionalstaff(PreviouslyTechnicalStream)intothe‘HealthPractitioners/Professional/Technical’stream(previouslycalled‘AlliedHealth/Professional/Scientists’).

clinical staff

Medical including VMOs

Nursing Health Practitioners/Professional/ Technical

35%

30%

25%

20%

15%

10%

5%

0%

per c

ent i

ncre

ase

sinc

e ba

selin

e

(Jun

e 20

05)

Increase in number of clinical staff employed in Queensland HealthFollowingathoroughandindependentassessmentofQueenslandHealth,aplanwasdevelopedtorenewservices,systemsandstructurestodeliverqualityhealthcaretoQueenslanders.The“HealthActionPlan-buildingabetterhealthserviceforQueensland”wasinitiatedinOctober2005asaresultofaninjectionof$6.4billioninfundingbetween2005/2006and2010/2011.

TheHealthActionPlanwasestablishedinrecognitionofanunprecedentedpopulationgrowthcausingincreasedpressureonthehealthsystem.TheHealthActionPlanfundingis:

• providingimmediaterelieftohealthservicestaffacrosstheState• allowinginvestmentinurgentlyneedednewservicesinthefuture• providingforthephasedimplementationofreformstoensurefuturesustainability.

Keyareasthathavebeentargetedincludeelectivesurgery($259.7million)andrenalservices($44.5million).Thisfundinghasallowedforextrapatientstoreceivesurgeryforproceduressuchascataracts,forwhichthereisahighdemand,aswellaskneeandhipreplacementswhichareexpensive.Increasingthenumberofpatientstreatedforseriousandchronicillnesses,suchascardiacandrenaldialysispatients,isalsoisapriorityoftheplan.

ThefollowinggraphsshowincreasesinthenumbersofadmissionsforselectedproceduressincetheimplementationoftheHealthActionPlanin2005.

special focus - Health Action Plan

staffing


Renal dialysis

WhencomparingthenumbersofadmissionssincetheimplementationoftheActionPlanin2005/2006tothemostrecentyear2007/2008increasesare:

• renaldialysis-10%increase• cataractsurgery-58%increase• totalhipreplacements-23%increase• totalkneereplacements-26%increase• coronaryangioplasties-36%increase

Total hip replacements

Total knee replacements

Coronary angioplasties

Cataracts

Source: QueenslandHospitalAdmittedPatientDataCollection(QHAPDC),HBCISElectiveAdmissionsModule,SurgeryConnect

special focus - Action Plan priorities

patients treated

year

s

2005/2006

2006/2007

2007/2008

100,000 105,000 110,000 115,000 120,000 125,000

year

s

patients treated

500 1,000 1,500 2,000

2005/2006

2006/2007

2007/2008

year

s

patients treated

500 1,000 1,500 2,000 2,500

2005/2006

2006/2007

2007/2008

year

s

patients treated

2,000 4,000 6,000 8,000 10,000

2005/2006

2006/2007

2007/2008

year

s

patients treated

500 1,000 1,500 2,000 2,500 3,000 3,500

2005/2006

2006/2007

2007/2008

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