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Ministry of Health, NSW 73 Miller Street North Sydney NSW 2060 Locked Mail Bag 961 North Sydney NSW 2059 Telephone (02) 9391 9000 Fax (02) 9391 9101 http://www.health.nsw.gov.au/policies/ space space

2015/16 Service Agreement Key Performance Indicators and

Service Measures Data Dictionary

space

Document Number IB2015_053 Publication date 08-Sep-2015

Functional Sub group Corporate Administration - Information and data Clinical/ Patient Services - Information and data Population Health - Health Promotion

Personnel/Workforce - Workforce planning

Summary The 2015/16 Key Performance Indicator and Service Measure Data Dictionary has been developed to support the NSW Ministry of Health and Local Health Districts in monitoring and reporting on the 2015/16 Service Agreements by providing the relevant information concerning the definitions for the numerators and denominators, as well as inclusion and exclusion notes for each of the Performance Measures located within Schedule E of the Service Agreement.

Replaces Doc. No. 2014/15 Service Agreement Key Performance Indicators and Service Measures Data Dictionary [IB2014_055]

Author Branch Health System Information & Performance Reporting Branch contact Health System Information & Performance 02 9391 9388

Applies to Local Health Districts, Board Governed Statutory Health Corporations, Chief Executive Governed Statutory Health Corporations, Specialty Network Governed Statutory Health Corporations, Affiliated Health Organisations, Public Health System Support Division, NSW Ambulance Service, Ministry of Health

Audience Administration, Performance Units, Data collection and Data Provision staff

Distributed to Public Health System, Ministry of Health Review date 08-Sep-2016

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2015-16 SERVICE AGREEMENT KEY PERFORMANCE INDICATORS

AND SERVICE MEASURES DATA DICTIONARY

PURPOSE

The purpose of this information bulletin is to support monitoring and reporting on the

2015-16 Service Agreements between the Local Health Districts and the NSW Ministry

of Health. The Service Agreement is a key component of the Performance Framework

for Health Services, providing a clear and transparent mechanism for assessment and

improvement of performance.

The definitions provided in the 2015-16 Service Agreement Key Performance

Indicators and Service Measures Data Dictionary (refer to Attachment section below)

will assist Health Services and other data users with the calculation and interpretation of

the Key Performance Indicators and Services Measures referenced in the Service

Agreements for 2015-16.

This information bulletin supersedes IB2014_055 - 2014/15 Service Agreement Key

Performance Indicators and Service Measures Data Dictionary.

KEY INFORMATION

The definitions provided in the Data Dictionary will assist Health Services and other data

users with the calculation and interpretation of the Key Performance Indicators and

Services Measures referenced in the Service Agreements for 2015-16. It should be

noted that some KPIs may be calculated differently when applied to different purposes

outside the management of the Service Agreements. The KPIs and Service Measures

contained in this document have been defined specifically with the intent to meet the

reporting requirements under 2015-16 agreements and to align to the Ministry of

Health’s monthly performance monitoring reports. Should you require further assistance

with the definitions or have comments regarding them please contact either the Health

System Information and Performance Reporting Branch or the Data / Policy contacts

listed in the KPI documentation.

The Service Agreement document covers both the Tier 1 and 2 KPIs and Service

Measures. Key Performance Indicators (KPIs), if not met, may contribute to escalation

under the Performance Framework processes. Performance against these KPIs will be

reported regularly to Health Services in the Health System Performance Report

prepared by the Department.

These KPIs have been designated into two categories:

• Tier 1 - Will generate a performance concern when the organisation’s

performance is outside the tolerance threshold for the applicable reporting

period.

• Tier 2 - Will generate a performance concern when the organisation’s

performance is outside the tolerance threshold for more than one reporting

period.

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to improve provision of safe and efficient patient care and to provide the contextual

information against which to assess performance.

Note that the KPIs and Service Measures listed above are not the only measures

collected and monitored by the NSW Health System. A range of other measures are

used for a variety of reasons, including monitoring the implementation of new service

models, reporting requirements to NSW Government central agencies and the

Commonwealth, and participation in nationally agreed data collections. Relevant

measures specified in the National Health Reform Performance and Accountability

Framework, and in NSW 2021: A Plan to Make NSW Number One, have been assigned

as NSW Health KPIs, Service Measures or Monitoring Measures, as appropriate.

This year the KPIs and Service Measures are grouped under the six reporting domains

of:

• Safety and Quality

• Service Access and Patient Flow

• Integrated Care

• Finance and Activity

• People and Culture

• Population Health.

The performance of LHDs, other Health Services and Support Organisations is

assessed in terms of whether it is meeting the performance targets for individual KPIs:

Highly Performing - Performance at, or better than, target

Underperforming - Performance within a tolerance range

Not performing - Performance outside the tolerance threshold.

As in previous years, the 2015-16 KPI and Service Measure data elements are also

located on the NSW Health Information Resource Directory and are accessible via the

following link:

http://internal4.health.nsw.gov.au/hird/view_data_resource_data_elements.cfm?ItemID=

20731&sortby=2&SelInit=&Page=1

Each individual indicator and service measure may be viewed and downloaded via this

portal. Further, additional documentation (where available) for each of the indicators

and service measures (such as specific identification of which fields from the data

warehouse are used for the calculation, sample .sas code, detailed calculation

formulae, etc) may be found under the “Ext Info” tab for each individual indicator and

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REVISION HISTORY

Version Approved by Amendment notes September 2015

(IB2015_053)

Director, Health System Information and

Performance

New version of the Data Dictionary to align with the 2015/16 Service Agreements.

September 2014 (IB2014_055)

Director, Health System Information and

Performance Reporting

Introduced a Data Dictionary for Local Health Districts to support the Key Performance Indicators and Service Measures as agreed to in Schedule E of the 2014/15 Service Agreements.

ATTACHMENT

1. Data Dictionary for 2015-16 Service Agreement Key Performance Indicators and

Service Measures

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Key Performance Indicators

and Service Measures for

the 2015-16 Service

Agreements

(Schedule E)

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Version 1.07 7 September 2015

Contact:

Further information regarding this document can be obtained from the Health System Information & Performance Reporting Branch.

• For queries relating to the documentation, including clarification of definitions:

[email protected]

• For queries relating to how the Service Agreement data is calculated and reported:

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Date ID Item Change

01/12/2014 SSA113, SSA114

Surgery for Children – Proportion of children (0 to 16 years) treated within their LHD of residence

Added Justice Health / Forensic Mental Health Network as an exclusion

01/12/2014 KQS204 Mental Health: Acute Post Discharge Community Care

Updated Data Collection Source / System details; Updated note for denominator, clarifying selection criteria

01/12/2014 KSA202 ED Presentations staying in ED > 24 hours (Mental Health) (number)

Name change, revised indicator definition for mode of separation values in Departure Time, and changes to SNOMED CT map 01/12/2014 KQS203 Mental Health: Acute Readmission

within 28 days

Added note to denominator definition

01/12/2014 SSA106 Patients with total time in ED <= 4 hrs (%): Mental Health Patients (admitted to a ward from ED)

Changed title (previously Emergency Admission Performance (Mental Health)), changed indicator definition to align with the Patients with Total time in ED <= 4hrs Service Measure. Updated (i) Data Collection

Source/System details; (ii) Primary data source for analysis; (iii) Denominator source

01/12/2014 SFA113 Sub and Non Acute Admitted Patient Episodes – grouped to an AN-SNAP Class

Scope change to Sub and non acute admitted patient episodes completed in 2014/15 in ABF in-scope facilities, excluding mental health services provided in designated mental health units and children <18 years of age. Exclusions (point 3) change to Sub and Non Acute Episodes of care provided to children (<18 years age) 01/12/2014 SFA106,

SFA107, SFA108, SFA109

ED Records unable to be grouped Revised definition and indicator to remove E4 and E5 codes; expanded scope for numerator and

denominator to include NEC facilities, revised Primary Point of Collection

01/12/2014 SFA110 ED coding completeness RETIRED for 2015-16 01/12/2014 SSQ117 Patient Experience Survey – Adult

Admitted Patients: overall rating of care

Change to the Service Agreement Type, indicator definition, scope, numerator, inclusions and

exclusions, useable data available from and time lag to available data

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01/12/2014 KSA201 ED Presentations staying in ED > 24 hours

Significant revision to Departure Time in indicator definition; Name change; minor refinement to the indicator definition, updated desired outcome and related policies and programs, updated target timeframe parameters.

01/12/2014 SSA104 ED presentations treated within benchmark times

Updated indicator definition, numerator definition, inclusions and context, related programs and policies

01/12/2014 KSA102 Emergency Treatment

Performance: Patients with Total time in ED <= 4hrs

Revised title of indicator, reflecting cessation of NEAT. Updated indicator definition, related policies and programs. Updated Targets. 01/12/2014 PI-03,

SSA117, SSA118

Hospital in the home – Admitted Activity (%)

DELETED sub-items SSA117 (Admitted Activity – Number) and SSA118 (Non-Admitted Activity – Number. Minor clarification to scope and outcome, change to

Performance Area. 01/12/2014 SSA111 Elective Surgery: Activity change

YTD compared to previous

Minor clarification to indicator definition, updated Context, Inclusions, Exclusions. 01/12/2014 SPC107 Recruitment: Improvement on

baseline average time taken from request to recruit to decision to approve/decline/defer recruitment

Updated title, indicator definition, target

01/12/2014 SFA105 Coding timeliness Updated target, clarified denominator definition, Updated Time Lag to Available Data

01/12/2014 PH-011B Get Healthy Information and Coaching Service – Health Professional Referrals

NEW for 2015-16

01/12/2014 PH-008B Healthy Children’s Initiative – Children’s Healthy Eating and Physical Activity Program (primary school sites) – Adopted

Transformed from KPI to SM; updated title from “Primary school sites adopting the Children’s Healthy Eating and Physical Activity Program in Primary School to agreed

standard”, minor amendment to indicator definition, updated target figures

01/12/2014 PH-008A Healthy Children’s Initiative – Children’s Healthy Eating and Physical Activity Program (centre based children’s service sites) – Adopted

Transformed from KPI to SM; updated title from “Primary school sites adopting the Children’s Healthy Eating and Physical Activity Program in centre-based children’s services to agreed standard”, minor amendment to indicator definition, updated target figures, updated Related Policies/ Programs.

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01/12/2014 PH-010A HIV testing increase within publicly-funded HIV and sexual health services

Changed indicator from Occasions of Service to number of tests. Revised indicator definition, numerator and denominator, updated under-performing and nor under-performing targets. Updated primary point of collection, Data Collection Source/System, Numerator and denominator source and availability, inclusions and targets.

01/12/2014 PH-008C Healthy Children’s Initiative: Children 7-13 years who Enrolled in the Targeted Family Healthy Eating and Physical Activity Program

MOVED TO SCHEDULE D for 2015-16

01/12/2014 PH-008D Healthy Children’s Initiative: Children 7-13 years who complete the Targeted Family Healthy Eating and Physical Activity Program

MOVED TO SCHEDULE D for 2015-16

01/12/2014 PH-010E STI testing/treatment/management – occasions of service within publicly-funded sexual health services: All persons

MOVED TO SCHEDULE D for 2015-16

01/12/2014 PH-010F STI testing/treatment/management – occasions of service within publicly-funded sexual health services: Aboriginal people

MOVED TO SCHEDULE D for 2015-16

01/12/2014 PH-010H STI testing/treatment/management – occasions of service within publicly-funded sexual health services: Sex workers

MOVED TO SCHEDULE D for 2015-16

01/12/2014 PH-010G STI testing/treatment/management – occasions of service within publicly-funded sexual health services: Gay men and other homosexually active men

MOVED TO SCHEDULE D for 2015-16

01/12/2014 SPH008 HIV testing occasions of service within publicly-funded HIV and sexual health services: All people

RETIRED for 2015-16

01/12/2014 PH-010B HIV testing occasions of service within publicly-funded HIV and sexual health services: Aboriginal people

RETIRED for 2015-16

01/12/2014 PH-010C HIV testing occasions of service within publicly-funded HIV and

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01/12/2014 PD-001 Variation against purchased volume (%) Public Dental Clinical Service

Updated indicator definition, exclusions, scope, goals, desired outcome.

01/12/2014 KFA105 Recurrent Trade Creditors Updated indicator definition with an exclusion note.

01/12/2014 SPC104 Premium Staff Usage – Allied Health

RETIRED for 2015-16

01/12/2014 SSQ103 Clostridium Difficile Infections (per 1,000 separations)

MOVED TO SCHEDULE D for 2015-16

01/12/2014 SSQ104 Root Cause Analysis – completed in 70 days

MOVED TO SCHEDULE D for 2015-16

01/12/2014 SSQ105 Complaints Management – resolved within 35 days

RETIRED for 2015-16

01/12/2014 SSA103 ED attendances admitted to ward / Intensive Care Unit / Operating Theatre (%)

RETIRED for 2015-16

01/12/2014 SSA105 Emergency Admission

Performance – Patients admitted to an inpatient bed within 8 hours of arrival in the ED

RETIRED for 2015-16

01/12/2014 SSA107 National Elective Surgery Target (NEST) Part 2.1: 10% of Longest waiting patients as at 31 December 2013 treated by 31 December 2014

RETIRED for 2015-16

01/12/2014 SSA115 Separations (number) RETIRED for 2015-16 01/12/2014 SSA119 Avoidable Admissions for targeted

conditions

RETIRED for 2015-16; Replaced by proposed new Service Measure SIC001

01/12/2014 SSA120 Available beds (number) RETIRED for 2015-16 01/12/2014 SSA121 Bed Occupancy RETIRED for 2015-16 01/12/2014

SSA122-SSA125

Connecting Care Program: • Aboriginal people enrolled (number)

• People identified as eligible for 48Hr Follow Up (number) • People identified as eligible for Chronic Care Rehab (number) • People identified as requiring an Aged Care Assessment (ACAT Evaluation Unit) (number)

RETIRED for 2015-16

01/12/2014 SFA104 Cost per NWAU RETIRED for 2015-16 01/12/2014 SFA114 Red Tape Reduction savings RETIRED for 2015-16 01/12/2014 KQS205 Hospital Acquired Pressure Injuries NEW for 2015-16 01/12/2014 SSQ120 Hospital Acquired Venous

thromboembolism NEW for 2015-16 01/12/2014 SIC101, SIC102, SIC103, SIC104 Potentially Preventable Hospitalisations NEW for 2015-16

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01/12/2014 SIC105, SIC106

Discharge Summaries: Number and percentage electronically delivered to patient’s General Practitioner (Number and %)

NEW for 2015-16

01/12/2014 PH-013B Quit for New Life Program: Referred to the Quitline

Transferred from Schedule D for 2015-16

01/12/2014 PH-013C Quit for New Life Program: Provided Nicotine Replacement Therapy (NRT)

Transferred from Schedule D for 2015-16

01/12/2014 PH-013D Quit for New Life Program: Booked follow-up Appointment

Transferred from Schedule D for 2015-16

01/12/2014 PH-014A Publically funded Hepatitis C related services – HCV Treatment Assessment

NEW for 2015-16

01/12/2014 SPC102, SPC103

Premium Staff Usage – Medical / Nursing

Updated numerator and denominator definitions.

01/12/2014 SFA112 NAP data completeness: Valid Health Establishment Registration Online identification (%)

RETIRED for 2015-16

01/12/2014 SFA115-SFA117

Wait List Enterprise Data Warehouse data errors, disaggregated by error source

NEW for 2015-16

08/12/2014 SPH002, SPH004

Children fully 7mmunized at four years of age

Updated indicator definition to clarify apparent discrepancy between indicator title and definition. 10/02/2015 SPC108 Aboriginal Workforce as a

proportion of total workforce

Updated numerator and denominator sources, Documentation of Indicator Source, data collection and data source fields, usable data available from field, applied consistent labeling to Aboriginal people, added note to indicator definition.

10/02/2015 SPC105 Leave Liability: Annual reduction in the total number of days in respect of accrued leave balances of more than 30 days

Updated title and definition of indicator (change from 40 days to 30 days). Updated numerator source, data collection and data source fields, related programs and policies and related national indicators 10/02/2015 KPC201 Staff who have had a performance

review within the last 12 months

Updated data contact, minor revision (clarification) of numerator definition, updated performing, non-performing and under-performing targets. 20/02/2015 SSQ101 Deteriorating Patients – Rapid

Response Calls

Clarified indicator to clear up

reporting of data for both the total as well as reporting for each subgroup. 20/02/2015 SSQ102 Deteriorating patients – unexpected Clarified indicator to clear up

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10/03/2015 SSQ115 Restoration Treatment Revised Frequency of Reporting 10/03/2015 SSQ116 Denture remakes – unplanned

returns

Revised Frequency of Reporting

10/03/2015 CC-001 Connecting Care Program: people currently enrolled (number)

MOVED TO SCHEDULE D for 2015-16

12/03/2015 KSA104 National Elective Surgery Target Part 2.2: Average overdue waiting time (days)

RETIRED FOR 2015-16

27/03/2015 SPC101 Workplace Injuries Revised title to align with the actual measure. Minor amendment to indicator definition, exclusions, and usable data available from

27/03/2015 KQS201 ICU Central Line Associated Bloodstream (CLAB) Infections

Changed from KPI to Service Measure, removed target 01/04/2015 SSA108,

SSA109, SSA110

Overdue Elective Surgery Patients Changed from Service Measure to KPI; Minor update to indicator definition, inclusions, and Primary point of collection.

02/04/2015 SSA112 Elective Surgery Theatre Utilisation Corrected numerator definition, updated inclusions, exclusions, related policies/programs 09/04/2015 PH-009 Needles and syringe Program –

Sterile needles and syringes distributed

Updated title (previously “Needles and syringes distribution – in the public sector “) and indicator

definition, related policies/programs, contact – policy, contact – data 09/04/2015 SSQ112,

SSQ113, SSQ125

Unplanned and emergency re-presentations to same ED within 48 hours

Amended numerator definition (removed visit type ‘11’ in the subsequent record criteria). Updated Denominator source and

denominator availability, updated performance area. Added documentation re: calculation of NWAU rate for ABF hospitals as a separate subset.

09/04/2015 SSQ114, SSQ118

Inpatients who were discharged against medical advice

Updated indicator splits, added note to indicator definition, updated time lag to available data, and Business owners.

17/04/2015 KSA103a, KSA103b, KSA103c

Elective Surgery Access Performance: Elective Surgery Patients Treated on Time (%)

Revised title of indicator, reflecting cessation of NEST. Minor updates to numerator definition and Primary point of Collection. Updated targets. 21/04/2015 SSA101,

SSA102

Patients with total time in ED <= 4 hrs

Updated indicator definition, numerator definition, inclusions, Related Policies and Programs 23/04/2015 KSA204 Non-Urgent Patients waiting more

than 365 days for an initial specialist outpatient services appointment

Updated Tier 2 Clinic classification, updated under-performing and non-performing targets.

23/04/2015 SFA101, SFA102

Specialist Outpatient Services (Service Events)

Updated Tier 2 Clinic classification

07/05/2015 KQS206 Mental Health: Acute Seclusion rate

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07/05/2015 SSQ121 Mental Health: Outcome Readiness – HoNOS Completion Rates

NEW for 2015-16

07/05/2015 SSQ122 Mental Health Consumer Experience Measure (YES) Completion Rate

NEW for 2015-16

07/05/2015 SSQ123 Mental Health: Average duration of seclusion

NEW for 2015-16

07/05/2015 SSQ124 Mental Health: Frequency of seclusion

NEW for 2015-16

27/05/2015 NA-001 Variation Against Purchased Volume (%) of Non-admitted Patient Service National Weighted Activity Units (NWAUs)

Finalised – updated 2015-16 NWAU details, inclusions and exclusions

05/06/2015 SPC112, SPC113, SPC114

Workplace Injuries: Return to Work Experience

NEW for 2015-16

11/06/2015 SSQ106, SSQ107, SSQ126

Unplanned hospital readmission: all unplanned admissions within 28 days of separation

Major revision to the indicator, including changes to the indicator definition, numerator, denominator, inclusions and exclusions. Updated Denominator source and

denominator availability, updated performance area, and comments. Added documentation re: calculation of NWAU rate for ABF hospitals as a separate subset.

19/06/2015 KSA101 Transfer of Care – patients transferred from Ambulance to ED < 30 minutes (%)

Minor amendment to the title of the indicator – previously “Transfer of care time from ambulance to ED < 30 minutes (%)”

06/07/2015 SSA101 Patients with total time in ED <= 4 hrs – Admitted.

Corrected numerator and inclusions – removed reference to separation modes 2, 3, 12 and 13

06/07/2015 SSA106 Patients with total time in ED <= 4 hrs – Admitted Mental Health.

Corrected numerator and inclusions – removed reference to separation modes 2, 3, 12 and 13

09/07/2015 SFA111 Non-Admitted Patient level data completeness: Patient Level

Updated and clarified denominator definition and calculation

17/07/2015 PH-011B Get Healthy Information and Coaching Service – Health Professional Referrals

Modified target, updated Comments, Context, Related Policies/Programs, Business Owners (Contact Data) and deleted Related National Indicators. 04/08/2015

MHDA-005

Variation against purchased volume (%): Mental Health Non-Admitted Patient (NWAU)

Updated numerator source from WebNAP to CHAMB.

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24/08/2015 SSQ122 Mental Health Consumer Experience Measure (YES) Completion Rate

Minor update to numerator & denominator definitions (added community residential to ambulatory; specified non-acute units for

inpatient) 25/08/2015 SIC001, SIC002, SIC003, SIC004 Potentially Preventable

Hospitalisations (Rate per 100,000)

Updated indicator definition to clarify the use of principal diagnosis, confirm ICD codes applicable to 7th, 8th and 9th editions, and clarified where 4th digit codes are included. 26/08/2015 PH-011B Get Healthy Information and

Coaching Service – Health Professional Referrals

Updated target for HNE LHD

28/08/2015 SSA106 Patients with Total time in ED <= 4hrs: Mental health patients admitted (to a ward/ICU/theatre from ED)

MAJOR REVISION – amended title (previously “Patients with Total time in ED <= 4hrs: Admitted to a mental health ward”); amended numerator definition, removing link to bed type, instead identifying the cohort via ED diagnosis; adjusted inclusions. 31/08/2015 PH-010A HIV testing increase within

publicly-funded HIV and sexual health services

Updated targets for WS LHD; updated comments section for SESLHD.

31/08/2015 PH-008A Healthy Children’s Initiative - Children’s Healthy Eating and Physical Activity Program (centre based children’s service sites) - Adopted

Updated 30 June 2016 target from 80% to 70%

31/08/2015 PH-008B Healthy Children’s Initiative - Children’s Healthy Eating and Physical Activity Program (primary school sites) - Adopted

Updated 30 June 2016 target from 80% to 70%

31/08/2015 PH-014A Publicly Funded Hepatitis C Related Services - Hepatitis C Virus (HCV) Treatment Assessment

Updated target, removing reference to a 10% increase.

03/09/2015 KSA101 Transfer of Care – patients transferred from Ambulance to ED <= 30 minutes

Updated indicator name and

numerator to clarify what is meant by within 30 minutes.

03/09/2015 KSA201 ED Presentations staying in ED > 24 hours

Updated indicator definition to clarify relevant modes of separation. Updated target period from annually to monthly.

03/09/2015 KSA202 ED Presentations staying in ED > 24 hours (Mental Health)

Updated target period from annually to monthly.

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SUMMARY OF KEY PERFORMANCE INDICATORS AND SERVICE MEASURE

TARGETS ... 14

Summary of Indicators and Targets for 2015-16 Service Agreements ... 16

SAFETY AND QUALITY – TIER 1 ... 22

Staphylococcus aureus bloodstream infections (SA-BSI): ... 22

SAFETY AND QUALITY – TIER 2 ... 24

Patient Experience Survey – Adult Admitted Patients: overall rating of care (%) ... 24

Hospital Acquired Pressure Injuries: Stage 3, 4 and Unstageable pressure injuries (number) ... 26

Mental Health: Acute Readmission within 28 days (%) ... 29

Mental Health: Acute Post Discharge Community Care ... 32

Mental Health: Acute Seclusion rate (number) ... 36

SAFETY AND QUALITY – SERVICE MEASURES ... 38

Deteriorating Patients – Rapid Response Calls ... 38

Deteriorating patients – unexpected cardiopulmonary arrest rate ... 41

Unplanned hospital readmission rates for patients discharged following management of targeted conditions (%) ... 44

ICU Central Line Associated Bloodstream (CLAB) Infections (Number) ... 48

Incorrect Procedures: Operating Theatre ... 50

Hospital Acquired Venous Thromboembolism (rate per 1000 separations) ... 52

Inpatients who were discharged against medical advice (%) ... 56

Restoration treatment ... 59

Denture remakes – unplanned returns:... 62

Patient Experience Survey – Emergency Department Patients: overall rating of care (%) 64 Mental Health: Outcome Readiness – HoNOS Completion Rates (%) ... 66

Mental Health Consumer Experience Measure (YES) Completion Rate (%) ... 70

Mental Health: Average duration of seclusion (number) ... 73

Mental Health: Frequency of seclusion (%)... 75

SERVICE ACCESS AND PATIENT FLOW – TIER 1 ... 77

Transfer of Care – patients transferred from Ambulance to ED <= 30 minutes (%) ... 77

Emergency Treatment Performance: Patients with Total time in ED <= 4hrs (%) ... 80

Elective Surgery Access Performance: Elective Surgery Patients Treated on Time (%) .. 84

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ED presentations treated within benchmark times (%) ... 101

Elective Surgery: Activity change YTD compared to previous (number) ... 104

Elective Surgery Theatre Utilisation: Operating Room Occupancy (%) ... 106

Surgery for Children - Proportion of children (0 to 16 years) treated within their LHD of residence: ... 108

Average Length of Episode Stay - Overnight Patients (days) ... 110

Acute to Aged-Related Care Services (AARCS) patients seen (number) ... 112

Aged Care Services in Emergency Teams (ASET) patients seen (number)... 114

Breast Screen Participation Rates: ... 116

INTEGRATED CARE – SERVICE MEASURES ... 119

Unplanned hospital readmission: all unplanned admissions within 28 days of separation (%): ... 119

Unplanned and emergency re-presentations to same ED within 48 hours (%) ... 123

Hospital in the home: ... 126

Potentially Preventable Hospitalisations (Rate per 100,000) ... 128

Discharge Summaries: Number and percentage electronically sent to patient’s General Practitioner (Number and %) ... 133

FINANCE AND ACTIVITY – TIER 1 ... 135

Variation against purchased volume (%) Acute Inpatient Services (NWAU) ... 135

Variation against purchased volume (%) Emergency Department Services (NWAU) ... 137

Variation against purchased volume (%) sub and non-acute inpatient services (NWAU) 139 Variation Against Purchased Volume (%) of Non-admitted Patient Service National Weighted Activity Units (NWAUs)... 141

Variation against purchased volume (%) Mental Health Acute Inpatient Services (NWAU) ... 146

Variation against purchased volume (%): Mental health Inpatient Activity Non Acute Inpatients (NWAU) ... 148

Expenditure Matched to Budget:... 150

Own Source Revenue Matched to Budget: ... 152

Recurrent Trade Creditors ... 154

Small Business Creditors... 156

FINANCE AND ACTIVITY – TIER 2 ... 158

Variation against purchased volume (%): Mental Health Non-Admitted Patient (NWAU) 158 Variation against purchased volume (%) Public Dental Clinical Service (DWAU)... 160

FINANCE AND ACTIVITY – SERVICE MEASURES ... 163

Specialist Outpatient Services (Service Events) (Number) ... 163

Patient Fee Debtors... 166

Coding timeliness (%) ... 168

ED Records unable to be grouped: ... 170

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PEOPLE AND CULTURE – TIER 2 ... 181

Staff who have had a performance review within the last 12 months ... 181

PEOPLE AND CULTURE – SERVICE MEASURES ... 184

Workplace Injuries: Claims (rate per 100 FTEs) ... 184

Workplace Injuries: Return to work experience (days): ... 186

Premium staff usage: average paid hours per FTE ... 188

Leave Liability: Annual reduction in the total number of days in respect of accrued leave balances of more than 30 days ... 190

Recruitment: Improvement on baseline average time taken from request to recruit to decision to approve/decline/defer recruitment (days) ... 192

Aboriginal Workforce as a proportion of total workforce (%) ... 194

YourSay Staff Culture Survey Results ... 197

POPULATION HEALTH – TIER 2 ... 199

HIV testing increase within publicly-funded HIV and sexual health services (%) ... 199

Get Healthy Information and Coaching Service – Health Professional Referrals (% increase) ... 201

POPULATION HEALTH – SERVICE MEASURES ... 203

Quit for new life program: ... 203

Publicly Funded Hepatitis C Related Services - Hepatitis C Virus (HCV) Treatment Assessment (Number) ... 206

Healthy Children’s Initiative - Children’s Healthy Eating and Physical Activity Program (centre based children’s service sites) - Adopted (% cumulative) ... 208

Healthy Children’s Initiative - Children’s Healthy Eating and Physical Activity Program (primary school sites) - Adopted (% cumulative) ... 211

Needle and Syringe Program – Sterile needles and syringes distributed (Number) ... 214

Children fully immunised at one year of age: ... 216

Children fully immunised at four years of age: ... 218

Human papillomavirus vaccine: ... 220

Antenatal visits for mothers of Aboriginal babies: ... 222

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SUMMARY OF KEY PERFORMANCE INDICATORS AND SERVICE ME AS URE TARGETS

The NSW Performance Framework (PF) applies to the 15 geographical NSW Local Health Districts, the

Ambulance Service NSW, Sydney Children’s Hospitals Network, the St Vincent’s Health Network, the

Forensic Mental Health Network and Justice Health. In this document, these organisations are referred to

collectively as Health Services, except where particular reference to Local Health Districts is required.

The definitions provided in this document will assist Health Services and other data users with the

calculation and interpretation of the Key Performance Indicators and Services Measures referenced in the

Service Agreements for 2015-16. It should be noted that some KPIs may be calculated differently when

applied to different purposes outside the management of the Service Agreements. The KPIs and Service

Measures contained in this document have been defined specifically with the intent to meet the reporting

requirements under 2015-16 agreements and to align to the Ministry of Health’s monthly performance

monitoring reports. Should you require further assistance with the definitions or have comments regarding

them please contact either the Health System Information & Performance Reporting Branch or the

Data/Policy contacts listed in the KPI documentation.

The Service Agreement is a key component of the Performance Framework for Health Services –

providing a clear and transparent mechanism for assessment and improvement of performance. The

Service Agreement document covers both the Tier 1 & 2 KPIs and Service Measures.

Key Performance Indicators (KPIs), if not met, may contribute to escalation under the Performance

Framework processes. Performance against these KPIs will be reported regularly to Health Services in

the Health System Performance Report prepared by the Department. These KPIs have been designated

into two categories:

Tier 1 - Will generate a performance concern when the organisation’s performance is outside the

tolerance threshold for the applicable reporting period.

Tier 2 - Will generate a performance concern when the organisation’s performance is outside the

tolerance threshold for more than one reporting period.

Service Measures: A range of Service Measures are identified to assist the organisation to improve

provision of safe and efficient patient care and to provide the contextual information against which to

assess performance.

Note that the KPIs and Service Measures listed above are not the only measures collected and monitored

by the NSW Health System. A range of other measures are used for a variety of reasons, including

monitoring the implementation of new service models, reporting requirements to NSW Government

central agencies and the Commonwealth, and participation in nationally agreed data collections.

Relevant measures specified in the National Health Reform Performance and Accountability Framework,

and in NSW 2021: A Plan to Make NSW Number One, have been assigned as NSW Health KPIs, Service

Measures or Monitoring Measures, as appropriate.

This year the KPIS and Service Measures are grouped under the six reporting domains of:

Safety and Quality

Service Access and Patient Flow

Integrated Care

Finance and Activity

People and Culture

Population Health

(19)

whether it is meeting the performance targets for individual KPIs:

Highly Performing - Performance at, or better than, target

Underperforming - Performance within a tolerance range

Not performing - Performance outside the tolerance threshold

As in previous years, the 2015-16 KPI and Service Measure data elements are also located on the NSW

Health Information Resource Directory and are accessible via the following link: TBA

Each individual indicator and service measure may be viewed and downloaded via this portal. Further,

additional documentation (where available) for each of the indicators and service measures (such as

specific identification of which fields from the data warehouse are used for the calculation, sample .sas

code, detailed calculation formulae, etc) may be found under the “Ext Info” tab for each individual

indicator and service measure, which may be downloaded as well.

The following table below provides a summary of the performance measures and targets against the Tier

1 & 2 KPIs as well as listing the Service Measures for each of the domains.

(20)

Summary of Indicators and Targets for 2015-16 Service Agreements

ID Key Performance Indicator Target

Not Performing X Under Performing Performing Safety and Quality

KQS 101

Tier 1

Staphylococcus aureus bloodstream infections (SA-BSI) (per 10,000 occupied bed days) < 2 > 2.0 N/A < 2 SSQ 117 Tier 2

Patient Experience Survey following treatment: Overall care received - good and very good (%)

Increase Decrease from previous Year No change Increase from previous Year KQS 205 Tier 2

Hospital acquired pressure injuries (rate per 1,000 completed inpatient stays) Decrease Increase from previous Year No change Decrease from previous Year KQS 203 Tier 2

Mental Health: Acute readmission

within 28 days (%) < 13 > 20 > 13 and < 20 < 13 KQS 204 Tier 2

Mental Health: Acute Post-Discharge Community Care - follow up within seven days (%)

> 70 < 50 > 50 and < 70 > 70 KQS 206 Tier 2

Mental Health: Acute Seclusion

rate (episodes per 1,000 bed days) < 6.8 > 9.9

> 6.8 and

< 9.9 < 6.8 Service Access and Patient Flow

KSA 101

Tier 1

Transfer of Care – patients

transferred from Ambulance to ED < 30 minutes (%) > 90 < 80 > 80 and < 90 > 90 KSA 102 Tier 1 Emergency Treatment

Performance - Patients with total time in ED <= 4 hrs (%) > 81 < 71 > 71 and < 81 > 81 KSA 201 Tier 2 Presentations staying in ED > 24

hours (number) 0 >5 >1 and <5 0

Elective Surgery Access Performance: Elective Surgery Patients Treated on Time (%):

KSA 103a Tier 1 • Category 1 100 < 100 N/A 100 KSA 103b • Category 2 > 97 < 93 > 93 and < 97 > 97 KSA 103c • Category 3 > 97 < 95 > 95 and < 97 > 97

(21)

ID Key Performance Indicator Target Not Performing X Under Performing Performing Service Access and Patient Flow

Overdue Elective Surgery Patients (number)

SSA 108 Tier 1 • Category 1 0 > 1 N/A 0 SSA 109 • Category 2 0 > 1 N/A 0 SSA 110 • Category 3 0 > 1 N/A 0 KSA 202 Tier 2

Mental Health: Presentations

staying in ED > 24 hours (number) 0 > 5 > 1 and < 5 0

KSA 204

Tier 2

Non-Urgent Patients waiting > 365 days for an initial specialist outpatient services appointment (Number) 0 Increase from previous Year Decrease from previous Year 0

Finance and Activity

Variation against purchased volume (%)

AI-001 Tier 1 Acute Inpatient Services (NWAU)

See Schedule D > +/- 2.0 variation from target +/ >1.0 -<2.0 variation from target +/- 1.0 variation from target ED-001 Tier 1

Emergency Department Services (NWAU) See Schedule D > +/- 2.0 variation from target +/ >1.0 -<2.0 variation from target +/- 1.0 variation from target SA-001 Tier 1

Sub and Non Acute Inpatient Services (NWAU) See Schedule D > +/- 2.0 variation from target +/ >1.0 -<2.0 variation from target +/- 1.0 variation from target NA-001 Tier 1

Non Admitted Patient Services – Tier 2 Clinics (NWAU) See Schedule D > +/- 2.0 variation from target +/ >1.0 -<2.0 variation from target +/- 1.0 variation from target MHD A-001

Tier 1 Mental Health Inpatient Activity Acute Inpatients (NWAU) See Schedule D > +/- 2.0 variation from target +/- >1.0 -< 2.0 variation from target +/- 1.0 variation from target

(22)

ID Key Performance Indicator Target Not Performing X Under Performing Performing Finance and Activity

Expenditure matched to budget (General Fund):

KFA 101

Tier 1

a) Year to date - General Fund (%) On budget or Favourable > 0.5 Unfavourable > 0 but < 0.5 Unfavourable On budget or Favourable KFA 102 Tier 1

b) June projection - General Fund (%) On budget or Favourable > 0.5 Unfavourable > 0 but < 0.5 Unfavourable On budget or Favourable

Own Source Revenue Matched to budget (General Fund):

KFA 103

Tier 1

a) Year to date - General Fund (%) On budget or Favourable > 0.5 Unfavourable > 0 but < 0.5 Unfavourable On budget or Favourable KFA 104 Tier 1

b) June projection - General Fund (%) On budget or Favourable > 0.5 Unfavourable >0 but < 0.5 Unfavourable On budget or Favourable Liquidty: KFA 105 Tier 1

Recurrent Trade Creditors > 45 days correct and ready for payment ($) 0 > 0 N/A 0 KFA 106 Tier 1

Small Business Creditors paid within 30 days from receipt of a correctly rendered invoice (%)

100 < 100 N/A 100

People and Culture KPC

201

Tier 2

Staff who have had a

performance review (%) 100 < 85 > 85 and < 90 > 90 Population Health PH-010A Tier 2

HIV testing increase within publicly-funded HIV and sexual health services (% increase) See Schedule D > 5.0 % variation below Target < 5.0 % variation below Target Met or exceeded Target PH-011B Tier 2

Get Healthy Information and Coaching Service – Health Professional Referrals (% increase) See Schedule D > 10.0 % variation below Target < 10.0 % variation below Target Met or exceeded Target

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SSQ101 SSQ102

Deteriorating Patients (rate per 1,000 separations): • Rapid response calls

• Cardio respiratory arrests

SSQ108 SSQ109 SSQ110 SSQ111

Unplanned hospital readmission rates (%) for patients discharged following management of: • Acute Myocardial Infarction

• Heart Failure

• Knee and hip replacements

• Pediatric tonsillectomy and adenoidectomy

KQS201 ICU Central Line Associated Bloodstream (CLAB) Infections (number)

KQS202 Incorrect procedures: Operating Theatre - resulting in death or major loss of function (number)

SSQ120 Hospital Acquired Venous thromboembolism (rate per 1000 separations)

SSQ114 SSQ118

Inpatients who were discharged against medical advice (%): • Aboriginal

• Non-Aboriginal

SSQ115

Re-treatment following restorative treatment: Number of permanent teeth re-treated within 6 months of an episode of restorative treatment. Performance target: less than 6% (less than 6 teeth re-treated per 100 teeth restored).

SSQ116 Denture remakes: Number of same denture type (full or partial) and same arch remade within 12

months. Performance target: less than 3% (less than 3 per 100 dentures).

SSQ119 Patient Experience Survey – Emergency Department Patients: Overall rating of care

(Percentage of patients rating care as “good” or “very good”) (%)

SSQ121 SSQ122 SSQ123 SSQ124

Mental Health:

• Outcomes readiness (HoNOS completion rates) (% of mental health episodes with completed HoNOS outcome measures)

• Consumer Experience Measure (YES) Completion Rate (% of episodes) • Average duration of seclusion (Hours)

• Frequency of seclusion (% of acute mental-health admitted care episodes with seclusion)

Service Access and Patient Flow

SSA101

SSA102 SSA106

Patients with total time in ED <= 4 hrs (%): • Admitted (to a ward/ICU/theatre from ED) • Not Admitted (to an Inpatient Unit from ED)

• Mental Health Patients (admitted to a ward from ED)

SSA104

ED attendances treated within benchmark times (%): • Triage 1

• Triage 2 • Triage 3 • Triage 4 • Triage 5

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SSA126 SSA127 SSA128 SSA129 SSA130 SSA131

Breast Screen Participation Rates, disaggregated by Aboriginality and cultural and linguistic diversity (%): • Women, aged 50-69 • Women, aged 70-74

Integrated Care

SSQ106 SSQ107 SSQ126

Unplanned hospital readmissions: all admissions within 28 days of separation (%): • All persons

• Aboriginal persons

• ABF hospitals (rate in NWAU)

SSQ112 SSQ113 SSQ125

Unplanned and Emergency Re-Presentations to same ED within 48 hours (%): • All persons

• Aboriginal persons

• ABF hospitals (rate in NWAU)

PI-03

Hospital in the Home: • Admitted activity (%)

SIC001 Potentially Preventable Hospitalisations (Rate per 100,000 population)

SIC002 Discharge Summaries: Number and percentage electronically delivered to patient’s General Practitioner (Number and %)

Finance and Activity

SFA101

SFA102

Specialist Outpatient Services (Service events) • Initial

• Subsequent

SFA103 Patient Fee Debtors > 45 days as a percentage of rolling prior 12 months Patient Fee Revenues

(%)

SFA105 Coding timeliness: % uncoded acute separations

SFA106 SFA107 SFA108 SFA109

ED records unable to be grouped:

• to URG with a breakdown for error codes: E1, E2, E3, E6, E7 and E8 (number and %) • to UDG with a breakdown for error codes: E1 and E2 (number and %)

SFA111

NAP data completeness: • Patient Level (%)

SFA115 SFA116 SFA117

Wait List Enterprise Data Warehouse data errors, reported separately and disaggregated by error source (%):

• Source System error (issues related to the EDW extract or mappings defects) • Data collection error (issues related to the actual data collected or reported) • System Vendor error (issues related to source system defects)

SFA113 Sub and Non Acute Inpatient Services - Grouped to an AN-SNAP class (%)

People and Culture

SPC101 SPC112 SPC113 SPC114

Workplace injuries:

• Claims (rate per 100 FTEs)

• Return to work experience - Continuous Average Duration (days)

SPC102 SPC103

Premium staff usage - average paid hours per FTE (Hours): • Medical

(25)

days (Number)

SPC107 Recruitment: improvement on baseline average time taken from request to recruit to decision to

approve/decline recruitment (days)

SPC108 Aboriginal Workforce as a proportion of total workforce (%)

SPC109 SPC110 SPC111

YourSay Survey (%):

• Estimated Response Rate • Engagement Index • Workplace Culture Index

Population Health

PH-013B PH-013C PH-013D

Quit for New Life Program (%) • Referred to the Quitline

• Provided Nicotine Replacement Therapy (NRT) • Booked follow-up Appointment

PH-014A Publically funded Hepatitis C related services – HCV Treatment Assessment (Number)

PH-008A Healthy Children’s Initiative - Children’s Healthy Eating and Physical Activity Program (centre based children’s service sites) - Adopted (% cumulative)

PH-008B Healthy Children’s Initiative - Children’s Healthy Eating and Physical Activity Program (primary school sites) - Adopted (% cumulative)

PH-009 Needle and Syringe Program – Sterile needles and syringes distributed (Number)

SPH003 SPH001 SPH004 SPH002

Children fully immunised (%)

• At one year of age: Non- Aboriginal children • At one year of age: Aboriginal children • At four years of age: Non- Aboriginal children • At four years of age: Aboriginal children

PH-006 Human papillomavirus vaccine – year 7 students receiving the third dose through the NSW

Adolescent Vaccination Program (%)

SPH005 SPH006

First comprehensive antenatal visit provided < 14 weeks gestation for all women who: • Identify the baby as Aboriginal

• Identify the baby as Non-Aboriginal

PH-013a SPH007

Women who smoked at any time during pregnancy (%): • Aboriginal women

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S AFETY AND QUALITY – TIER 1

INDICATORS: KQS101

Previous IDs: 9A15, 9A16,

0005

Staphylococcus aureus bloodstream infections (SA-BSI):

• A1 – C2 facilities (per 10,000 occupied bed days) • D1a – F8 facilities (per 10,000 occupied bed days) Service Agreement Type

Performance Area Status

Version number

Key Performance Indicator Safety and Quality (Tier 1) Final

1.1

Scope All patients in hospitals

Goal To minimize the risks and unnecessary morbidity and mortality from healthcare associated infections (HAI) in NSW public healthcare facilities through

implementation of infection control practices.

Desired outcome Reduction in the number of Staphylococcus aureus bloodstream infections

Primary point of collection Health staff in all NSW public healthcare facilities

Data Collection Source/System HAI Monthly Data Collection, NSW Health Primary data source for

analysis HAI Monthly Data Collection, NSW Health

Indicator definition The number of SA-BSI as a rate of the number of occupied bed days Numerator

Numerator definition Number of Staphylococcus aureus bloodstream infections (SA-BSI)

Numerator source NSW public healthcare facilities

Numerator availability Monthly, available from 1 January 2009 Denominator

Denominator definition Number of occupied bed days

Denominator source Health System Information and Performance Reporting Branch, NSW Health Denominator availability Monthly

Inclusions • Healthcare associated inpatient bloodstream infections caused by

Staphylococcus aureus:

- Methicillin sensitive Staphylococcus aureus (MSSA) - Methicillin resistant Staphylococcus aureus (MRSA)

• Healthcare associated non-inpatient MSSA and MRSA bloodstream infections

Exclusions • Community associated MSSA and MRSA bloodstream infections

Next report due Monthly from data availability

Targets

Target Less than or equal to 2 SA-BSI per 10,000 occupied bed days

(27)

hygiene and aseptic technique requirements.

Context Staphylococcus aureus, a bacterium that commonly colonises human skin

and mucosa, is amongst the commonest and more serious causes of community and healthcare associated sepsis.

• Incidence of healthcare associated SA-BSI is used as an outcome marker for hand hygiene compliance of healthcare workers.

Related Policies/ Programs NSW Health Hand Hygiene Policy

Healthcare Associated Infection: Clinical Indicator Manual, version 2.0 November 2008

Useable data available from 2009 Frequency of Reporting Monthly

Time lag to available data Reporting data available one month post last reporting period Business owners Clinical Excellence Commission

Contact - Policy Director, Clinical Governance, Clinical Excellence Commission (Dr Paul Curtis) Contact - Data Director, Clinical Governance, Clinical Excellence Commission (Dr Paul Curtis),

and

Executive Director, Health System Information and Performance Reporting (Dr Zoran Bolevich)

Representation

Data type Numeric

Form Number, presented as a rate per 10,000 occupied bed days

Representational layout X.X

Minimum size 1

Maximum size 2

Date effective January 2009

Related National Indicator

Indicators National Healthcare Agreement: PI 22-Healthcare associated infections, 2015

http://meteor.aihw.gov.au/content/index.phtml/itemId/559022

Meteor ID: 559022

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S AFETY AND QUALITY – TIER 2

INDICATOR:

SSQ117

Previous IDs: 9A20, 9A21

Patient Experience Survey – Adult Admitted

Patients: overall rating of care (%)

Percentage of patients rating care as “good” or “very good”

Service Agreement Type Performance Area Status

Version number

Key Performance Indicator Safety and Quality (Tier 2) Final

5.0

Scope Sample of adult patients who are admitted to hospitals in peer groups A1, A3, B, C1 and C2. These hospitals contribute to the LHD total in

proportion to the total number of admitted patients for all A1, A3, B, C1 and C2 hospitals in that LHD.

Goal Improve patients’ experience of care

Desired outcome Increase proportion of patients rating their overall care as “good” or “very good”

Primary point of collection Postal survey of recent admitted patients with up to two reminders and alternative completion online

Data Collection Source/System NSW Patient Survey Program data

Primary data source for analysis Responses to Adult Admitted Patient Survey

Indicator definition Weighted percentage of survey respondents who rate their overall care as “good” or “very good”.

Numerator

Numerator definition Number of survey respondents who rate their overall care as “good” or “very good”

Data are weighted to represent the age and stay type (overnight or same day) profile of patients at each hospital.

Numerator source NSW Patient Survey Program data

Numerator availability Available

Denominator

Denominator definition Total number of survey respondents answering this question.

Data are weighted to represent the age and stay type (overnight or same day) profile of patients at each hospital.

Denominator source NSW Patient Survey Program data

Denominator availability Available

Inclusions All patients surveyed during the target period.

 Facilities in peer groups A1, A3, B, C1 and C2

 Patients aged 17 years or older until Dec 2013, then 18 years or older from Jan 2014 onwards

(29)

 Valid Australian postal address

Exclusions • As per inclusions above

• Same day admissions less than 3 hours

• Same day episodes with a mode of separation of transfer

• Maternity admissions (incl. stillbirths, miscarriages and termination of pregnancy procedures)

• Patients treated for contraceptive management • Haemodialysis patients

• Admitted patients treated in a mental health setting • Maltreatment codes (incl. sexual and physical abuse) • Patients that have died

Targets

Target Increase over previous year.

Context Health services should not only be of good clinical quality but should also

provide a positive experience for the patient.

Related Policies/ Programs

Useable data available from Quarterly data is available for January to March 2013 onwards. Previous

data from 2007-2011 exists however direct comparisons are not advisable due to changes in the question wording.

Frequency of Reporting Quarterly reporting at LHD level

Time lag to available data Eight months from the end of each quarter

Business owners Directorate, Patient Based Care, Clinical Excellence Commission

Contact - Policy Directorate, Patient Based Care, Clinical Excellence Commission

Contact - Data Director Surveys and Quarterly Reports, Bureau of Health Information

Representation

Data type Numeric

Form Number, presented as a percentage

Representational layout NNN

Minimum size 1

Maximum size 3

Data domain

Date effective 2014

(30)

INDICATOR: KQS205

Previous IDs:

Hospital Acquired Pressure Injuries: Stage 3, 4

and Unstageable pressure injuries (number)

Service Agreement Type

Performance Area Status

Version number

Key Performance Indicator Safety and Quality (Tier 2) Final

1.0

Scope All overnight inpatients in public hospitals

Goal To minimize the number and severity of hospital acquired pressure injuries in NSW public health facilities through promotion of a

comprehensive, systematic approach to pressure injury prevention and management.

Desired outcome Improved quality and safety processes by timely risk assessment which guides prevention strategies and management of existing pressure injuries, resulting in a reduction in the number and severity of hospital acquired pressure injuries.

Primary point of collection Patient Medical Record

Data Collection Source/System Hospital PAS systems, Admitted Patient Data Collection

Primary data source for analysis HIE

Indicator definition The rate of age standardized overnight admitted patient stays with stage 3, 4 and Unstageable hospital acquired pressure injuries within a financial year.

Numerator

Numerator definition The total number of stage 3, 4 and Unstageable hospital acquired pressure injuries, disaggregated by pressure injury stage.

Stage 3, 4 and Unstageable hospital acquired pressure injuries are identified where:

• ICD10AM 9th edition codes L89.2x, L89.3x, and L89.4x are

recorded; AND

• Condition Onset Flag is set to ‘1’, OR

• The ‘condition onset flag’ is “9” AND the condition is NOT a principal diagnosis code.

Numerator source HIE

Numerator availability Available

Denominator

Denominator definition The total number of completed inpatient stays with separation dates within the reporting period

Denominator source HIE

Denominator availability Available

Inclusions • Stays where the presence of a pressure injury is not specified as

(31)

numbers.

Exclusions • Pressure injuries present on admission (Community acquired

pressure injuries). • Same day inpatient stays.

Targets

Target Reduction from the previous financial year’s rate of hospital acquired

pressure injuries.

Performing: Reduction from the previous financial year’s rate of hospital acquired pressure injuries.

Under performing: No change from the previous financial year’s rate of hospital acquired pressure injuries.

Not performing: Increase on the previous financial year’s rate of hospital acquired pressure injuries.

Context The rate of hospital acquired pressure injury varies between patient

populations. Facilities with a low hospital acquired pressure injury rate may be able to demonstrate good preventative practices; facilities with a high hospital acquired pressure injury rate may indicate a problem with clinical care and risk assessment processes

Related Policies/ Programs • NSW Health Pressure Injury Prevention and Management policy PD 2014_007 sets out best practice for the prevention of pressure injuries

• NSQHSS – Standard 8 Preventing and Managing Pressure Injuries • CEC Pressure Injury Prevention Project

Useable data available from 1 September 2015 Frequency of Reporting Monthly

Time lag to available data 1 month

Business owners Clinical Excellence Commission

Contact - Policy Director, Clinical Governance, Clinical Excellence Commission (Dr Paul

Curtis)

Contact - Data Executive Director, Health Systems Information and Performance

Reporting (Dr Zoran Bolevich)

Representation

(32)

Date effective 1 July 2015

Related National Indicator

(33)

INDICATOR: KQS203

Previous IDs: 0008, 9A9

Mental Health: Acute Readmission within 28 days

(%)

Service Agreement Type Performance Area Status

Version number

Key Performance Indicator Safety and Quality (Tier 2) Final

3.0

Scope Mental health Services

Goal To reduce the number of acute public sector mental health readmissions to same or another public sector acute mental health unit within 28 days of discharge.

Desired outcome Improved mental health and well-being through effective inpatient care and adequate and proper post-discharge follow up in the community.

Primary point of collection Administrative and clinical staff at designated facilities (including stand-alone psychiatric hospitals) with mental health units/beds.

Data Collection Source/System Inpatient data: Patient Administration Systems.

Primary data source for analysis Admitted Patient Data Collection - HIE/IQ server; State Unique Patient Identifier (SUPI) - HIE/IQ server.

Indicator definition Percentage of overnight separations from a NSW acute Mental Health unit followed by an overnight readmission to any NSW acute Mental Health unit within 28 days.

Numerator

Numerator definition Overnight separations from a NSW mental health acute psychiatric inpatient unit(s) occurring within the reference period, that are followed by an overnight readmission to the same or another acute psychiatric inpatient unit within 28 days.

Numerator source Admitted Patient Data Collection (NSW HIE).

Readmission between facilities detected by (i) SUPI where available or

(ii) Local identifier (combination of facility identifier and person identifier) where SUPI not available.

Numerator availability Availability of Admitted Patient data is good; however, time must be allowed for readmissions to occur and be recorded in systems.

Numerator is therefore only available after a lag of 3 months, e.g. a June report will measure readmissions following separations in March. Since 2007/2008, SUPI coverage has been close to 99% for separations from NSW mental health inpatient units.

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Denominator availability Available.

Inclusions Numerator: Overnight separations, where the last ward is a designated

acute mental health unit, which are followed by an overnight admission to any designated acute mental health unit within 28 days.

Exclusions

Denominator: Separations following overnight acute care where the last

ward is a designated acute mental health unit.

Denominator:

• Excludes separations where “mode of separation” = death (6, 7), discharge at own risk (2) transfer (4, 5) or type change (9). • Excludes same day separations. This exclusion applies to each

separation in the denominator and any subsequent readmission. • Separations where the purpose of admission was for

maintenance ECT and length of stay is one night only. This exclusion applies to each separation in the denominator and any subsequent readmission.

Target

Comment

Less than or equal to 13% (10% for readmission to same facility and 3% readmission to other facility/Area).

Performing: <= 13%

Under Performing: > 13% and < 20% Not Performing: >= 20%

The methodology for constructing this indicator was revised in August 2008. The revision was followed by the publication of a Technical Report describing the rationale and methodology for the revised indicator which was distributed widely in AHS and the Department (MHDAO).

An electronic copy of the report, “Technical Paper: Transition to a Revised 28 Day Readmission Indicator for Mental Health, November 2008”, based on the definitions and methodology published in the National Mental Health KPIs (November 2004), is available from Associate Director Performance Analysis and Reporting, InforMH (Tel: 02 8877 5121).

In September 2012, the Technical Paper was revised. The revised “Technical Paper: Revised Acute 28 Days Readmission, Indicator for

Mental Health 2005/2006 – 2011/201” is based on the new definitions

and methodology published in the National Mental Health KPIs (second edition 2011). An electronic copy is available from Associate Director Performance Analysis and Reporting, InforMH (Tel: 02 8877 5121).

Context Readmission to Hospital within 28 days of discharge has become one of

the most widely used Key Performance Indicators in Australian health care.

Within mental health care, 28 Day Readmission is reported in all Australian jurisdictions. The Australian national mental health KPI set

(35)

includes the indicator in the domains of effectiveness and continuity, stating “high levels of readmissions within a short timeframe are widely regarded as reflecting deficiencies in inpatient treatment and/or follow-up care and point to inadequacies in the functioning of the overall system”.

Source: Key Performance Indicators for Australian Public Mental Health Services, second edition 2011. Australian Govt, Canberra. P 29.

Related Policies/ Programs The NSW Health Policy Directive “Transfer of Care from Mental Health Inpatient Services” (PD2012_060), articulates the roles and

responsibilities for safe, efficient and effective transfer of care between inpatient settings and from hospital to the community. The policy aims to address two key state targets to improve mental health outcomes:

• Reduce re–admissions within 28 days to any facility

• Increase the rate of community follow–up within 7 days from a NSW public mental health unit

Useable data available from Financial year 2002/03

Frequency of Reporting Monthly: HSP report; Biannual: NSW MH Performance Report;

Annual/Financial: NSW Health Annual Report, NSW 2021, COAG Health

Council, National Healthcare Agreement (NHA) Performance Indicator Report.

Time lag to available data Admitted Patient reporting is required by the 13th calendar day of each month for previous month. Data available in HIE/IQ Server by following Tuesday.

Business owners

Contact - Policy Director, Mental Health and Drug & Alcohol Office (Peter Carter; Tel: 02 9391 9262)

Contact - Data Associate Director Performance Analysis and Reporting, InforMH

(Sharon Jones; Tel: 02 8877 5121)

Representation

Data type Numeric

Form Number, presented as a percentage (%)

Representational layout NNN

Minimum size 1

Maximum size 3

Data domain HIRD (Health Information Resource Directory), Indicator specifications in

References

Related documents