B.2 - Performance Analysis

Overview

ACT Health continually strives to provide a safe and high-quality health care system, and is continually implementing service improvements to increase safety for all patients. This section discusses our performance against the strategic objectives/indicators specified in the ACT Budget Papers. Due to the differing type and nature of services provided at each public hospital campus the targets for some indicators are different.

Table 4 provides an overview of ACT Health’s performance against the specified strategic objectives/indicators.

Table 4: Performance analysis overview

Strategic objective/indicator

2014–15 performance comment

More information

Health Directorate

Strategic Objective 1: Removals from Waiting List for Elective Surgery

ACT public hospitals performed 11,875 elective surgery procedures, a 1% increase on the 11,780 reported for 2013–14.

Strategic Objective 1: Removals from Waiting List for Elective Surgery

Strategic Objective 2: No Waiting for Access to Emergency Dental Health Services

ACT public hospitals achieved this target throughout 2014–15.

Strategic Objective 2: No Waiting for Access to Emergency Dental Health Services

Strategic Objective 3: Improving Timeliness of Access to Radiotherapy Services

ACT public hospitals achieved or exceeded the targets.

Strategic Objective 3: Improving Timeliness of Access to Radiotherapy Services

Strategic Objective 4: Improving the Breast Screen Participation Rate for Women aged 50 to 69 years

The participation rate for women aged 50–69 years was 55%, which is below the target of 60%.

The target for the total number of screens exceeded the participation target for women aged 70–74 years.

Strategic Objective 4: Improving the Breast Screen Participation Rate for Women aged 50 to 69 years

Strategic Objective 5: Maintaining the waiting times for in hospital assessments by the Aged Care Assessment Team

ACT hospitals met ACT Health requirements to respond to public hospital-based assessments within the target of two working days of acceptance of referral.

Strategic Objective 5: Maintaining the waiting times for in hospital assessments by the Aged Care Assessment Team

Strategic Objective 6: Reducing the Usage of Seclusion in Mental Health Episodes

ACT public hospitals reported a seclusion result of 5%, which is 2% above our local target.

Strategic Objective 6: Reducing the Usage of Seclusion in Mental Health Episodes

Strategic Objective 7: Maintaining Reduced Rates of Patient Return to an ACT Public Acute Psychiatric Inpatient Unit

ACT public hospitals achieved 6%, which met the <10% target.

Strategic Objective 7: Maintaining Reduced Rates of Patient Return to an ACT Public Acute Psychiatric Inpatient Unit

Strategic Objective 8: Reaching the Optimum Occupancy Rate for all Overnight Hospital Beds

ACT public hospitals reported a combined occupancy rate of 85 %, which is a 5 % improvement on the 90 % reported in 2013–14. This is a positive improvement as the demand for beds increased in 2014–15.

Strategic Objective 8: Reaching the Optimum Occupancy Rate for all Overnight Hospital Beds

Strategic Objective 9: Management of Chronic Disease: Maintenance of the Highest Life Expectancy at Birth in Australia

The ACT remains the jurisdiction with the highest life expectancy in Australia. Over the 10 year period from 2004 to 2013, life expectancy in the ACT increased by two years for males and 1.1 years for females.

Strategic Objective 9: Management of Chronic Disease: Maintenance of the Highest Life Expectancy at Birth in Australia

Strategic Objective 10: Lower Prevalence of Circulatory Disease than the National Average

The proportion of the ACT population diagnosed with some form of cardiovascular disease was 18.4%, which is slightly above the national rate of 16.9%.

Strategic Objective 10: Lower Prevalence of Circulatory Disease than the National Average

Strategic Objective 11: Lower Prevalence of Diabetes than the National Average

The prevalence of diabetes in the ACT is 3.8%, which is slightly above the national rate of 3.7%.

Strategic Objective 11: Lower Prevalence of Diabetes than the National Average

Strategic Objective 12: Government capital expenditure on healthcare infrastructure

The ACT exceeded the national rate of expenditure on infrastructure.

Strategic Objective 12: Government capital expenditure on healthcare infrastructure

Strategic Objective 13: Higher proportion of Government recurrent health funding expenditure on public health activities than the national average

The ACT exceeded the Australian average rate of recurrent health funding on public health activities as a strategy to reduce the long-term chronic disease burden.

Strategic Objective 13: Higher proportion of Government recurrent health funding expenditure on public health activities than the national average

Strategic Objective 14: Addressing Gaps in Aboriginal and Torres Strait Islander Immunisation Status

During 2014–15, vaccination coverage rates for Aboriginal and Torres Strait Islander children in the ACT within two of the three cohorts were the highest in Australia.

Strategic Objective 14: Addressing Gaps in Aboriginal and Torres Strait Islander Immunisation Status

Strategic Objective 15: Higher Participation Rate in the Cervical Screening Program than the National Average

The ACT participation rate for the target population exceeded the target.

Strategic Objective 15: Higher Participation Rate in the Cervical Screening Program than the National Average

Strategic Objective 16: Achieve Lower than the Australian Average in the Decayed, Missing, or Filled Teeth (DMFT) Index

The ACT rate for DMFT index was lower than the national average on the DMFT index.

Strategic Objective 16: Achieve Lower than the Australian Average in the Decayed, Missing, or Filled Teeth (DMFT) Index

Strategic Objective 17: Reducing the Risk of Fractured Femurs in ACT Residents Aged Over 75 years

In 2013–14, the ACT rate of admissions in persons aged 75 years and over with a fractured neck of femur was 6.7 per 1,000 persons in the ACT population.

Strategic Objective 17: Reducing the Risk of Fractured Femurs in ACT Residents Aged Over 75 years

Strategic Objective 18: Reduction in the Youth Smoking Rate

The proportion of ACT students reporting to be current smokers in 2011 is slightly lower than the national average of 6.7 %.

Strategic Objective 18: Reduction in the Youth Smoking Rate

ACT Local Hospital Network

Strategic Objective 1: Percentage of Elective Surgery Cases Admitted on Time by Clinical Urgency

The demand for elective surgery and the number of additions to the elective surgery waiting list continued to increase in 2014–15, which has impacted the ability to meet the targets.

Strategic Objective 1: Percentage of Elective Surgery Cases Admitted on Time by Clinical Urgency

Strategic Objective 2: Improved Emergency Department Timeliness

See below

Strategic Objective 2: Improved Emergency Department Timeliness

Strategic Indicator 2.1: The proportion of Emergency Department presentations that are treated within clinically appropriate timeframes

The 3 % increase in demand experienced in 2014–15 was a major reason for some performance indicators underachieving against targets.

Strategic Indicator 2.1

Strategic Indicator 2.2: The proportion of Emergency Department presentations whose length of stay in the Emergency Department is four hours or less

ACT public hospital Emergency Departments continued to improve the proportion of patients who presented to Emergency Departments who stayed less than four hours from their arrival to either admission or their departure home.

Strategic Indicator 2.2

Strategic Objective 3: Maximising the Quality of Hospital Services

See below

Strategic Objective 3: Maximising the Quality of Hospital Services

Strategic Indicator 3.1: The Proportion of People who Undergo a Surgical Operation Requiring an Unplanned Return to the Operating Theatre within a Single Episode of Care due to Complications of their Primary Condition

Both Canberra Hospital and Calvary Public Hospital met the 2014–15 targets.

Strategic Indicator 3.1

Strategic Indicator 3.2: The Proportion of People Separated from ACT Public Hospitals who are re-admitted to Hospital within 28 Days of their Separation due to Complications of their Condition (where the re-admission was unforeseen at the time of separation)

The results at Canberra Hospital and Calvary Public Hospital remained below the targets during 2014–15.

Strategic Indicator 3.2

Strategic Indicator 3.3: The Number of People Admitted to Hospitals per 10,000 Occupied Bed Days who Acquire a Staphylococcus Aureus Bacteraemia Infection (SAB infection) During their Stay

The results are below the national benchmark of 2.00 cases per 10,000 bed days of care. Furthermore, recent national figures show both public hospitals remain below the national average for their respective hospital categories or peer groups.

Strategic Indicator 3.3

Strategic Indicator 3.4: The Estimated Hand Hygiene Rate

Canberra and Calvary public hospitals continued to improve on the national benchmark of 70 % during the most recent audit, which was undertaken in March 2015.

Strategic Indicator 3.4