Elective Surgery quarterly admissions
Definition This indicator measures the number of patients that have been removed from the elective surgery waiting list as admitted to the hospital (or contracting hospital) and receiving their waiting list procedure. For Service Agreement performance
monitoring, this indicator excludes activity associated with any additional
Commonwealth or State Government funded activity as outlined in Schedules E and F.
Calculating
performance The definitions applied are consistent with the national definitions used for reporting against the National Partnership Agreement on Improving Public Hospital Services.
The definitions applied include admission from the elective surgery waiting list where the planned procedure was completed. This also includes patients admitted for the waiting list as an emergency. For Service Agreement performance monitoring, this indicator excludes weighted separations funded by the National Partnership Agreement on Improving Health Services in Tasmania.
Indicator procedures as defined in the Tasmanian wait list procedure code (TWLPC) set and specify which procedures are included in the calculation of this indicator in accordance with national definitions.
Numerator: Total number of admissions from the elective surgery waiting list to the hospital (or contracting hospital) where the planned procedure was completed (this includes admissions from the waiting list as an emergency).
Denominator: No denominator.
KPI target As per individual THO Service Agreements.
KPI target
source Tasmanian Activity Based Funding Model (SPP). Negotiated with THOs. Recognises prevailing State Government policy directions.
Frequency of data collection and
performance assessment
Data collection is continuous.
Performance monitoring is undertaken on a monthly basis.
Performance reporting and assessment is undertaken on a quarterly basis against agreed year-to-date targets.
Performance is assessed on a year-to-date basis.
Performance reporting and assessment is based on data collected through Health Central from iPM on the 4th working day of the month immediately following the end of each quarter.
Data source iPM
Service Agreement Key Performance Indicator Definitions
Percentage of category 1 patients admitted within the recommended time
Definition This indicator measures the percentage of category 1 elective surgery patients who are admitted to the hospital (contracting hospital) and received their waiting list procedure within national benchmark waiting time for urgency category 1.
Calculating
performance The definition applied is consistent with the national definitions used for reporting against the National Partnership Agreement on Improving Public Hospital Services.
The definition includes admission from the elective surgery waiting list where the planned procedure was completed. This also includes patients admitted from the waiting list as an emergency.
The number of waiting time days is calculated by subtracting the listing date for care from the removal date, minus any days the patient was 'not ready for care', and minus any days the patient was waiting with a less urgent clinical urgency category than their clinical urgency category at removal.
Indicator procedures as defined in the Tasmanian wait list procedure code (TWLPC) set and specify which procedures are included in the calculation of this indicator in accordance with national definitions.
The indicator is presented as a percentage.
Numerator: Total number of admissions from the elective surgery waiting list to the hospital (or contracting hospital) within benchmark for urgency category 1 (this includes admissions from the waiting list as an emergency):
Clinical urgency category
National standards (desirable treatment times)
Category 1 - Urgent Admission within 30 days (i.e. <= 30 days)
Denominator: Total number of admissions from the elective surgery waiting list to the hospital (or contracting hospital) for urgency category 1 (this includes
admissions from the waiting list as an emergency).
KPI target As per individual THO Service Agreements.
KPI target
source Tasmanian Activity Based Funding Model (SPP). Negotiated with THOs. Recognises prevailing State Government policy directions.
Frequency of data collection and
performance assessment
Data collection is continuous.
Performance monitoring is undertaken on a monthly basis.
Performance reporting and assessment is undertaken on a quarterly basis against agreed quarterly targets.
A new performance assessment period commences at the beginning of each quarter (i.e. performance is not measured on a year-to-date basis).
Performance reporting and assessment is based on data collected through Health Central from iPM on the 4th working day of the month immediately following the end of each quarter.
Data source iPM
Service Agreement Key Performance Indicator Definitions
Number of over boundary, category 1 patients on the waiting list.
Number of over boundary, category 2 patients on the waiting list.
Number of over boundary, category 3 patients on the waiting list.
Definition These three indicators report the number of urgency category 1, 2 or 3 patients, ready for care, who are waiting for elective surgery longer than the recommended number of waiting days for that urgency category (30 Days, 60 Days and 365 Days, respectively).
Calculating
performance A patient may be 'ready for care' or 'not ready for care'. Ready for care patients are those who are prepared to be admitted to hospital or to begin the process leading directly to admission. Not ready for care patients are those who are not in a position to be admitted to hospital. These patients are either:
Staged patients whose medical condition will not require or be amenable to surgery until some future date; for example, a patient who has had internal fixation of a fractured bone and who will require removal of the fixation device after a suitable time; or deferred patients who for personal reasons are not yet prepared to be admitted to hospital; for example, patients with work or other commitments which preclude their being admitted to hospital for a time.
Not ready for care patients could be termed staged and deferred waiting list patients, although currently health authorities may use different terms for the same concepts.
Staged and deferred patients should not be confused with patients whose operation is postponed for reasons other than their own unavailability, for example; surgeon unavailable, operating theatre time unavailable owing to emergency workload. These patients are still 'ready for care'.
Patients who are not ready for care should be excluded from calculation.
The recommended wait time before treatment, in days, for urgency category 1 patients is 30 days or less (i.e. <= 30 days).
The recommended wait time before treatment, in days, for urgency category 2 patients is 60 days or less (i.e. <= 60 days).
The recommended wait time before treatment, in days, for urgency category 3 patients is 365 days or less (i.e. <= 365 days).
See Tasmanian wait list procedure code (TWLPC) for a list of indicator procedures.
Numerator: Total number of urgency category 1, 2 or 3 patients on elective surgery waiting lists that are ready for care who have waited longer than the recommended waiting time.
The recommended waiting time is:
within 30 days (i.e. <= 30 days) for urgency category 1. Urgency category 1 patients who have waited 31 days or longer are considered over boundary.
within 60 days (i.e. <= 60 days) for urgency category 2. Urgency category 2 patients who have waited 61 days or longer are considered over boundary.
within 365 days (i.e. <= 365 days) for urgency category 3. Urgency category
Service Agreement Key Performance Indicator Definitions
boundary.
Denominator: No denominator.
KPI target As per individual THO Service Agreements.
KPI target
source Tasmanian Activity Based Funding Model (SPP). Negotiated with THOs. Recognises prevailing State Government policy directions.
Frequency of data collection and
performance assessment
Data collection is continuous.
Performance monitoring is undertaken on a monthly basis.
Performance reporting and performance assessment is undertaken on a quarterly basis against agreed year-to-date targets.
Performance is assessed on a year-to-date basis, based on a snapshot of the waiting list at a specified date.
Performance reporting and assessment is based on data collected through Health Central from iPM on the 4th working day of the month immediately following the end of each quarter.
Data source iPM
Service Agreement Key Performance Indicator Definitions
Number of patients on the waiting list waiting longer than 365 days.
Definition This indicator measures the number of elective surgery patients, inclusive of all three clinical priority categories that are waiting ready for care, that have waited longer than 365 days.
Calculating
performance A patient may be 'ready for care' or 'not ready for care'. Ready for care patients are those who are prepared to be admitted to hospital or to begin the process leading directly to admission. Not ready for care patients are those who are not in a position to be admitted to hospital. These patients are either:
Staged patients whose medical condition will not require or be amenable to surgery until some future date; for example, a patient who has had internal fixation of a fractured bone and who will require removal of the fixation device after a suitable time; or deferred patients who for personal reasons are not yet prepared to be admitted to hospital; for example, patients with work or other commitments which preclude their being admitted to hospital for a time.
Not ready for care patients could be termed staged and deferred waiting list patients, although currently health authorities may use different terms for the same concepts.
Staged and deferred patients should not be confused with patients whose operation is postponed for reasons other than their own unavailability, for example; surgeon unavailable, operating theatre time unavailable owing to emergency workload. These patients are still 'ready for care'.
Patients who are not ready for care should be excluded from calculation.
Waiting time is as defined in waiting time at a census date. It is calculated by
subtracting the Listing date for care from the Census date, minus any days when the patient was 'not ready for care', and also minus any days the patient was waiting with a less urgent clinical urgency category than their clinical urgency category at the census date.
Indicator procedures as defined in the Tasmanian wait list procedure code (TWLPC) set and specify which procedures are included in the calculation of this indicator in accordance with national definitions.
The indicator is calculated separately for each of the three urgency categories and presented as an average (days).
See Tasmanian wait list procedure code (TWLPC) for a list of indicator procedures.
The definitions applied are consistent with the national definitions used for reporting against the National Partnership Agreement on Improving Public Hospital Services.
Computation: Waiting time (at census date) [TotalWaitingDays] > 365 days.
Numerator: Number of patients on elective surgery waiting lists that are ready for care who have waited longer than 365 days.
Denominator: No denominator.
KPI target As per individual THO Service Agreements.
Service Agreement Key Performance Indicator Definitions
source prevailing State Government policy directions.
Frequency of data collection and
performance assessment
Data collection is continuous.
Performance monitoring is undertaken on a monthly basis.
Performance reporting and performance assessment is undertaken on a quarterly basis against agreed year-to-date targets.
Performance is assessed on a year-to-date basis, based on a snapshot of the waiting list at a specified date.
Performance reporting and assessment is based on data collected through Health Central from iPM on the 4th working day of the month immediately following the end of each quarter.
Data source iPM
Service Agreement Key Performance Indicator Definitions