The Role of public accountability mechanisms

Taming the Queue Conference29 March 2012

Chris BaggoleyChief Medical Officer

Australian Government Department of Health and Ageing

AUSTRALIAN CHARTER

OF

HEALTHCARE RIGHTS

Elective Surgery Performance

Elective Surgery Plan separations – Final Period Jul to Dec 2010

– Target 311,860– Achievement 331,992– % over target 6.5%

Source: Commonwealth Reform Commission Report - Period 3 independent assessment

Performance – 2006-07 to 2010-11

2006-07 2010-11 ChangeAdmissions 556,770 620,783 +64,013 Waiting TimesMedian wait 32 days 36 days + 4 days X90th percentile 226 days 252 days

+ 26 days X% > 365 days 3.1% 2.9% - 0.2%

Source: Australian Institute of Health and Welfare, Australian Hospital Statistics 2010-11

Demand for Emergency Departments

Australian EDs are facing rising demand, well above rates of population growth:

• In 2004-05, there were 4.3 million presentations to EDs. By 2010-11, this had risen to 6 million – an increase of nearly 40% over 5 years.

• Over the same period, population growth was 10%.

National ED presentations vs Population (% change over 2004-05)

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%

45.00%

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Year

Perc

ent c

hang

e ov

er 2

004-

05

Growth Total emergency visits (over base year) Growth Population (over base year)

Sources: AIHW Australian Hospital Statistics publications, 2004-05 to 2010-11; and Australian Bureau of Statistics 3101.0 Demographic Statistics Table 2. Population Change

Australian Emergency Departments: Triage Category Performance

The goal of the

‘Taking Pressure Off

Public Hospitals’

agreement is to raise

the National Average

to 80% by 2012-13.

Sources: Australian Hospital Statistics 2002-03 to 2009-10, produced by the Australian Institute of Health and Welfare.

% presentations treated within recommended times, Australia

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

% p

resen

tati

on

s

National Average (all Cats)

Improvement required to hit 80%

Four hour length of stay 2006-07 to 2009-10 by

Jurisdiction

Source: Expert Panel Review of Elective and Emergency AccessTargets under the National Partnership Agreement in Improving

Public Hospital Services: Supplementary Annexure. Report to COAG: August 2011 p.46

Monthly performance against the Four Hour Rule Program in

Western Australia **July 2008 – April 2011

Data in Queensland

Use of statistical process control charts Using routine data Starting point for learning and subsequent

action to improve quality of care

Duckett, S. et al, MJA, 19 November 2007

Queensland Health Annual Report 2007-08

MyHospitals

• Myhospitals presents information on hospitals throughout

Australia and how they compare against national and state

and territory data, including:

– Hospital profile

– Services offered

– Number of admissions

– Waiting times for emergency departments and elective

surgery

– Safety and quality (Staphylococcus aureus bacteraemia;

hand hygiene)

Visit the MyHospitals website at: http://www.myhospitals.gov.au/