ACT Local Hospital Network strategic indicators

On 29 March 2011, the ACT Government took the first step towards implementing the ACT Local Hospital Network (ACT LHN) when the ACT Legislative Assembly passed amendments to the Health Act 1993. These amendments provided a legislative basis for the establishment of the ACT LHN and a skill-based ACT LHN Council.

The ACT LHN consists of a networked system that will hold service contracts with ACT Health. The ACT LHN comprises the Canberra Hospital, Calvary Public Hospital, Clare Holland House (CHH) and the Queen Elizabeth II Family Centre (QEII).

Under the reforms outlined in the National Health Reform Agreement, the ACT Government will continue to manage system-wide public hospital service planning and performance, including the purchasing of public hospital services and capital planning, and will be responsible for the management of the performance of the ACT LHN.

Performance of the ACT LHN will be subject to a national performance framework (the Health Performance Framework) to be administered by the independent National Performance Authority. The framework will include a range of performance indicators that will be publicly available on the MyHospitals website and will outline a remediation process to be implemented for underperforming LHNs.

The ACT and the Commonwealth have agreed to a networked service arrangement. This means the ACT Government will not have a single service agreement with the ACT LHN but will have four separate service agreements with each constituent entity of the ACT LHN.

The following strategic indicators include some of the major performance benchmarks implemented by the Commonwealth Government under the requirements of the national health reforms. These initiatives include a range of performance benchmarks and governance arrangements to be met by states and territories.

ACT public hospitals—Canberra Hospital and Calvary Public Hospital

Performance indicator 1: Percentage of elective surgery cases admitted on time by clinical urgency

 

Clinically recommended time by urgency category 2012 target 2012 result 2013 target
One (Urgent—admission within 30 days is desirable for a condition that has the potential to deteriorate quickly to the point that it may become an emergency) 95% 98% 97%
Two (Semi-urgent—admission within 90 days is desirable for a condition causing some pain, dysfunction or disability which is not likely to deteriorate quickly or become an emergency) 55% 57% 66%
Three (Non-urgent—admission at some time in the future acceptable for a condition causing minimal or no pain, dysfunction or disability, which is not likely to deteriorate quickly and which does not have the potential to become an emergency). The Health Directorate establishes a 365-day maximum desirable waiting time for category 3 patients. 82% 89% 86%

 

Performance indicator 2: The proportion of Emergency Department presentations whose length of stay in the Emergency Department is four hours or less

 

  2012 target 2012 result 2013 target
The proportion of Emergency Department presentations who either physically leave the Emergency Department for admission to hospital, are referred for treatment or are discharged, whose total time in the Emergency Department is within four hours. 64% 57% 65%

 

Note: Targets and results are based on calendar year data.

Clare Holland House (CHH)

The ACT Government, through the Health Directorate, provides funding for inpatient, outpatient and community-based specialist palliative care services in the ACT. These include Clare Holland House, an interdisciplinary service including a 19-bed inpatient hospice, specialist outreach services to people’s homes (Home-Based Palliative Care), consultancy services to hospitals, a nurse educator, a nurse practitioner, bereavement services and the Calvary Centre for Palliative Care Research, all managed by Calvary Health Care ACT.

Performance indicator 3: Reaching the optimum occupancy rate
for Clare Holland House inpatient beds

 

  2012‑13 target 2012‑13 result
Percentage of CCH inpatients beds in use 85% 76%

 

Performance indicator 4: The number of home-based palliative care occasions of service provided by CHH

 

  2012‑13 target 2012‑13 result
The number of people receiving home-based palliative care services provided by CHH (off-campus occasions of service provided by nurses) 5,250 3,433

 

Queen Elizabeth II Family Centre (QEII)

The ACT Government, through the Health Directorate, also provides funding to the Canberra Mothercraft Society to manage the Queen Elizabeth II Family Centre. The centre provides residential primary health care and parenting programs for families with young children who are experiencing complex health and behavioural difficulties in the first three years of an infant’s life.

Performance indicator 5: The total number of admissions to the Queen Elizabeth II Family Centre

 

  2012‑13 target 2012‑13 result
Total admissions 1,400 1,674

 

Performance indicator 6: Maintain the waiting time for admission of urgent people to the Queen Elizabeth Family Centre

 

  2012‑13 target 2012‑13 result
Proportion of admissions of urgent clients equal to or less than 2 days 100% 47%

 

Performance indicator 7: Reaching the optimum occupancy rate for the Queen Elizabeth II Family Centre

 

  2012‑13 target 2012‑13 result
Percentage of QEII inpatients beds in use 85% 94%

 

Performance indicator 8: The proportion of patients readmitted to the Queen Elizabeth II Centre following their separation from the centre

 

  2012‑13 target 2012‑13 result
The proportion of people separated from QEII who are readmitted to QEII <5% 0%