DHB-benchmark-report-octdec2009

DHB Hospital Benchmark


Information




Report for the Quarter


October - December 2009


Ministry of Health. 2010. DHB Hospital Benchmark Information. Report for the


Quarter October – December 2009.




Wellington: Ministry of Health.




Published in May 2010 by the


Ministry of Health


PO Box 5013, Wellington, New Zealand




ISSN 1176-9858 (Internet)


HP 5104




This document is available on the Ministry of Health’s website:




http://www.moh.govt.nz


Disclaimer

1. While every endeavour has been made to use accurate data in this report, there

are currently some variations in the way data is collected from District Health

Boards that may result in errors, omissions and inaccuracies in the information

contained in this report. Neither the Crown, Ministry of Health, its business units,

nor their officers, employees and agents shall, under any circumstances, accept

responsibility for or be liable in any way for any loss or direct, consequential,

incidental, indirect or special damages of any kind, or any other damages

howsoever arising (whether in negligence or otherwise) out of or in connection

with the content and/or any omissions from the content, including, without

limitation, those arising from:

i. the accuracy or completeness of any information available in this report

ii. any reliance of any kind whatsoever by users of any information provided in

this report

iii. any responsibility or liability that may be incurred in respect of the use of or

reliance on information provided in this report

iv. contingencies outside the control of the Crown, Ministry of Health, its

business units, or their officers, employees and agents

v. negligence of the Crown, Ministry of Health, its business units, or their

officers, employees and agents in procuring, complying, interpreting,

editing, writing, reporting or delivering any content, or

vi. any other cause, except where liability is made non-excludable by

legislation. Any clause, or part thereof, declared invalid shall be deemed

severable and not affect the validity or enforceability of the remainder.



2. Users of this report are advised to contact the relevant District Health Board or

District Health Boards or the Ministry of Health to confirm the accuracy of the

information contained in this report.



3. Each page of the report must be read in conjunction with this disclaimer and any

other disclaimer which forms part of it.









DHB Hospital Benchmark Information: December 2009 i

Contents



DISCLAIMER I




PREFACE 1




INTRODUCTION 2




COMPARATIVE DHB BENCHMARKING MEASURES 4




Quality and Patient Outcome 4


Emergency Triage Rates 4


Acute Readmission Rate 6


Patient Satisfaction 6


Healthcare Associated S. aureus Bloodstream Infections 7




Process and Efficiency 7


Average Length of Stay 8


Day Surgery Rate 9


Day of Surgery Admission Rate 10


Did Not Attends 11




Organisational Health 11


Staff Turnover 12


Sick Leave 12


Workplace Illnesses or Injuries 13




CONSOLIDATED RESULTS AGAINST NON-FINANCIAL MEASURES 14




CONSOLIDATED RESULTS AGAINST FINANCIAL MEASURES 15




PATIENT SATISFACTION SURVEY RESPONSE RATES 16




HOSPITAL BENCHMARK INFORMATION BY DISTRICT HEALTH BOARD 17




APPENDIX I: MEASURE DESCRIPTIONS 167




APPENDIX II: LIST OF DISTRICT HEALTH BOARD HOSPITALS 172




APPENDIX III: PATIENT SATISFACTION DIMENSIONS 174




APPENDIX IV: CALCULATION OF CONFIDENCE INTERVALS 175










ii DHB Hospital Benchmark Information: December 2009

Preface

Since the July-September quarter of 2006, Hospital Benchmark Information (HBI)

reports have been produced using the same basic set of source information, following

an extensive sector-based review of all aspects of HBI.



District Health Boards (DHB) should contact the Performance Section, National Health

Board, Ministry of Health, if they wish to discuss the results contained in the HBI

reports.









DHB Hospital Benchmark Information: December 2009 1

Introduction

The HBI report contains 15 high-level comparative measures of New Zealand hospital

performance. Results are presented at the DHB level. This current report focuses on

the December 2009 quarter. The HBI report is primarily intended as a DHB

performance improvement resource. The report is built up from data supplied to the

Ministry by DHBs.



Interpreting HBI Performance Measures

A distinction should be drawn between the contents of this report and actual DHB

performance. Comparative data is presented in this report at a highly aggregated

level, and without further analysis or evaluation of performance other than the ranking

of DHB results against each measure. A poor ranking in the HBI report is not the

same as poor performance.



Outcomes against the HBI performance measures are influenced both by factors

outside DHB control, such as population characteristics and the level of urbanisation,

and by hospital activity and casemix, including the provision of tertiary services 1.



In addition, the HBI dataset, like any similar data collection, is affected by inaccuracies

and errors in reporting, though efforts are constantly made by both DHBs and the

Ministry to ensure that the best possible information is available to readers.



As a consequence, conclusions about DHB performance based on HBI results should

be made with caution. The results serve as much to stimulate questions as to provide

answers. Stakeholders wishing to use the HBI report for the evaluation of DHB

performance are advised to contact relevant DHBs directly for assistance in the

interpretation of their results.



DHB Performance Improvement



The primary role of the HBI report is to assist individual DHBs in improving the

performance of their hospitals. The performance measures included in the report are

provided for use by DHBs as a basis for benchmarking initiatives and other similar

exercises. There is research evidence to suggest that long-term performance

improvement is most likely when performance information forms part of open-ended

quality improvement and learning processes within an organisation, rather than when

it is wielded as a judgement or ‘naming and shaming’ tool by an external body 2. The



1 Powell, A E, Davies, H T O and Thomson, R G, (2003), “Using routine comparative data to assess

the quality of health care: understanding and avoiding common pitfalls”, Quality & Safety in Health

Care, 12;122-128. Boyce, N W, (2002), “Potential pitfalls of healthcare performance indicators”,

Medical Journal of Australia, 177;229-230.

2 Boland, T and Fowler, A, (2000), “A systems perspective of performance management in public

sector organisations”, The International Journal of Public Sector management, 13(5);417-446.

Freeman, T, (2002), “Using performance indicators to improve health care quality in the public

sector: a review of the literature”, Health Services Management Research, 15;126-137. Gibbs, R,

(2002), “Performance indicators: for judging or learning?”, The British Journal of Healthcare

Computing & Information Management, 19(5);21-22. Mullen, P, (2004), “Using performance

indicators to improve performance”, Health Services Management Research, 17;217-228.





2 DHB Hospital Benchmark Information: December 2009

HBI report reflects such thinking; it should be read not as an attempt to judge or

control DHBs, but as a tool produced for DHBs to use in enhancing their own

performance.



Benchmarking is typically described as consisting of two stages: metric benchmarking

and process benchmarking 3. This HBI report helps address the former, providing

some high-level quantitative and comparative measures of DHB performance. DHBs

are encouraged to use such measures as a starting point for further investigations of

performance. These investigations are likely to require more detailed data, and could

include process benchmarking, a form of learning where DHBs study each other’s

methods and systems in order to discover good practice.



Structure of the HBI Report

The initial section of this report consists of bar graphs, showing comparisons between

DHBs, for 11 non-financial performance measures grouped into three quadrants.

Financial measures constitute a fourth quadrant, which is not depicted graphically.

Following this initial section of bar graphs are two tables of results for non-financial

and financial measures, both of which show DHBs grouped according to size, and a

further table giving response rates to the national patient satisfaction survey. Finally,

the largest section of the report presents results by DHB. A number of Appendices

are also included:

 Appendix I provides descriptions of all measures

 Appendix II lists the hospitals that form the provider arm of each DHB

 Appendix III gives further explanation of the dimensions of patient satisfaction

used in this report

 Appendix IV provides an explanation of the basis for, and calculation of,

confidence intervals.









3 Audit Commission, (2000), getting better all the time: making benchmarking work, Audit

Commission for Local Authorities and the National Health Service in England and Wales, London.





DHB Hospital Benchmark Information: December 2009 3

Comparative DHB Benchmarking Measures

This section allows for comparison of each DHB against all other DHBs, for all non-

financial HBI performance measures. A description of each measure can be found in

Appendix I.



Except where stated otherwise, the nationwide results given in this section and

elsewhere in the report are weighted averages. This means that larger DHBs, with a

greater level of activity, will exert a proportionately greater influence on the nationwide

result than smaller DHBs. Confidence intervals are at the 95 percent level, and the

principles and calculations behind these confidence intervals are explained in

Appendix IV. Confidence intervals (the distance between upper and lower confidence

limits) show the likely range within which the performance measure would lie if the

measurement could be repeated many times (i.e., if hospital performance were a

repeatable experiment). In other words, they are a measure of the inherent variability

in the results. For this reason, a smaller confidence interval is preferable, and shows

results to be more statistically robust than results with a larger confidence interval.





Quality and Patient Outcome

The Quality and Patient Outcome quadrant contains four measures: emergency triage

rates (Figures 1, 2 and 3); acute readmission rates (Figure 4); patient satisfaction

(Figure 5); and healthcare associated Staphylococcus aureus bloodstream infections

(HABSI, Figure 6).



Emergency Triage Rates



Figure 1: Triage 1 rates

Auckland for all DHBs. The triage 1

Bay of Plenty rate measures the

Canterbury

percentage of triage 1

Capital & Coast

Counties Manukau

patients who begin

Hawke's Bay assessment and treatment

Hutt Valley by a health professional

Lakes immediately. The

MidCentral Australasian College of

Nelson Marlborough

Northland

Emergency Medicine

Otago

(ACEM) recommends 100

South Canterbury percent of triage 1 patients

Southland be seen immediately.

Taranaki Patient presented at

Waikato hospital front door and not

Wairarapa

Waitemata

through the ambulance bay

West Coast causing a delay in

Whanganui treatment at Lakes DHB.

0 20 40 60 80 100

Tairawhiti DHB was unable

to supply accurate data for

Triage 1 rate (%)

this quarter.







4 DHB Hospital Benchmark Information: December 2009

Auckland Figure 2: Triage 2 rates

Bay of Plenty for all DHBs. The triage 2

Canterbury rate measures the

Capital & Coast

percentage of triage 2

Counties Manukau

Hawke's Bay patients who begin

Hutt Valley assessment and treatment

Lakes by a health professional

MidCentral within 10 minutes. ACEM

Nelson Marlborough recommends 80 percent of

Northland triage 2 patients be seen

Otago

South Canterbury

within 10 minutes. The

Southland grey line denotes the

Taranaki nationwide triage 2 rate.

Waikato Upper and lower

Wairarapa confidence limits are

Waitemata shown for each DHB result.

West Coast

Tairawhiti DHB was unable

Whanganui

to supply accurate data for

0 20 40 60 80 100 this quarter.

Triage 2 rate (%)









Auckland Figure 3: Triage 3 rates

Bay of Plenty

for all DHBs. The triage 3

Canterbury

Capital & Coast

rate measures the

Counties Manukau percentage of triage 3

Hawke's Bay patients who begin

Hutt Valley assessment and treatment

Lakes by a health professional

MidCentral within 30 minutes. ACEM

Nelson Marlborough

recommends 75 percent of

Northland

Otago triage 3 patients be seen

South Canterbury within 30 minutes. The

Southland grey line denotes the

Taranaki nationwide triage 3 rate.

Waikato Upper and lower

Wairarapa

confidence limits are

Waitemata

West Coast

shown for each DHB result.

Whanganui Tairawhiti DHB was unable

to supply accurate data for

0 20 40 60 80 100

this quarter.

Triage 3 rate (%)









DHB Hospital Benchmark Information: December 2009 5

Acute Readmission Rate



Auckland

Figure 4: Acute

Bay of Plenty

Canterbury readmission rates for all

Capital & Coast DHBs. This measures

Counties Manukau numbers of readmissions

Hawke's Bay within seven days per

Hutt Valley 1,000 discharges. The

Lakes grey line denotes the

MidCentral

nationwide readmission

Nelson Marlborough

Northland rate. Upper and lower

Otago confidence limits are

South Canterbury shown for each DHB result.

Southland

Tairawhiti

Taranaki

Waikato

Wairarapa

Waitemata

West Coast

Whanganui



40 50 60 70 80 90



Acute readmission rate (‰)







Patient Satisfaction



Auckland
Figure 5: Overall patient

Bay of Plenty
satisfaction for 21 DHBs.

Canterbury


This score is derived from

Capital & Coast


Counties Manukau


a survey question that

Hawke's Bay
asks both inpatients and

Hutt Valley
outpatients to rate their

Lakes
overall satisfaction with

MidCentral
services. The grey line

Nelson Marlborough
denotes the nationwide

Northland


level of overall patient

Otago


South Canterbury


satisfaction. Upper and

Southland
lower confidence limits are

Tairawhiti
shown for each DHB

Taranaki
result. West Coast DHB

Waikato
could not provide data for

Wairarapa
this quarter due to poor

Waitemata


survey response rates.

Whanganui



80 85 90 95



Overall patient satisfaction (%)









6 DHB Hospital Benchmark Information: December 2009

Healthcare Associated S. aureus Bloodstream Infections



Auckland

Bay of Plenty


Figure 6: HABSI for all

Canterbury
DHBs. This measures the

Capital & Coast number of S. aureus

Counties Manukau bloodstream infections per

Hawke's Bay

Hutt Valley

1,000 inpatient bed-days.

Lakes
The grey line denotes the

MidCentral
nationwide HABSI. Upper

Nelson Marlborough and lower confidence limits

Northland are shown for each DHB

Otago

South Canterbury

result. Results are

Southland
presented as a four quarter

Tairawhiti
rolling average.

Taranaki

Waikato


Wairarapa


Waitemata


West Coast


Whanganui




0 0.1 0.2 0.3 0.4



HABSI rate (‰)









Process and Efficiency



The Process and Efficiency Quadrant contains four measures: Average Length of

Stay (ALOS, Figures 7 and 8); day surgery rates (Figures 9 and 10); day of surgery

admission (DOSA rates, Figures 11 and 12); and did not attends (DNA, Figure 13).



This report gives both the actual unadjusted results against each of the first three

measures, along with standardised results that measure performance relative to the

sector average, once each DHB’s unique casemix has been accounted for. These

standardised results are derived by first determining an ‘expected’ result for each

DHB; this is found by applying the sector average for each diagnostic related group

(DRG) to the DHBs own mix of DRG-coded events. The real result is then divided by

the expected result to give a standardised rate expressed as a percentage.









DHB Hospital Benchmark Information: December 2009 7

Average Length of Stay



Auckland


Bay of Plenty


Figure 7: ALOS for all

Canterbury
DHBs. This measures the

Capital & Coast
average number of days

Counties Manukau
(measured at midnight)

Hawke's Bay
spent in hospital by

Hutt Valley


inpatients. The grey line

Lakes


MidCentral


denotes the nationwide

Nelson Marlborough
ALOS. Upper and lower

Northland
confidence limits are

Otago
shown for each DHB result.

South Canterbury
Results are presented as a

Southland


four quarter rolling

Tairawhiti


Taranaki


average.

Waikato


Wairarapa


Waitemata


West Coast


Whanganui




3 3.5 4 4.5 5



ALOS (days)









Auckland


Figure 8: standardised

Bay of Plenty


Canterbury
ALOS for all DHBs. This

Capital & Coast
measures ALOS as a

Counties Manukau
percentage of the sector

Hawke's Bay
average for ALOS once

Hutt Valley
each DHB’s casemix has

Lakes
been adjusted for. One

MidCentral


hundred percent is

Nelson Marlborough


Northland


equivalent to the sector

Otago
average. Results are

South Canterbury
presented as a four quarter

Southland
rolling average.

Tairawhiti


Taranaki


Waikato


Wairarapa


Waitemata


West Coast


Whanganui




85 100 115



Standardised ALOS (%)









8 DHB Hospital Benchmark Information: December 2009

Day Surgery Rate





Auckland

Figure 9: Day surgery

Bay of Plenty

Canterbury

rates for all DHBs. These

Capital & Coast measure the frequency of

Counties Manukau elective and arranged day

Hawke's Bay surgery as a proportion of

Hutt Valley all elective and arranged

Lakes surgery. The grey line

MidCentral

denotes the nationwide day

Nelson Marlborough

Northland

surgery rate. Upper and

Otago lower confidence limits are

South Canterbury shown for each DHB result.

Southland Results are presented as a

Tairawhiti four quarter rolling average.

Taranaki

Waikato

Wairarapa

Waitemata

West Coast

Whanganui



40 45 50 55 60 65 70 75



Day surgery rate (%)







Auckland Figure 10: Standardised

Bay of Plenty day surgery rates (actual

Canterbury

Capital & Coast

against expected) for all

Counties Manukau DHBs. These measure the

Hawke's Bay actual day surgery rate as a

Hutt Valley percentage of the sector

Lakes average day surgery rate,

MidCentral once each DHB’s casemix

Nelson Marlborough

has been adjusted for. One

Northland

Otago

hundred percent is

South Canterbury equivalent to the sector

Southland average. Results are

Tairawhiti presented as a four quarter

Taranaki rolling average.

Waikato

Wairarapa

Waitemata

West Coast

Whanganui



85 100 115



Standardised day surgery rate (%)









DHB Hospital Benchmark Information: December 2009 9

Day of Surgery Admission Rate



Auckland
Figure 11: DOSA rates for

Bay of Plenty
all DHBs. These measure

Canterbury
the frequency of inpatient

Capital & Coast


Counties Manukau


surgery on the day of

Hawke's Bay
admission as a percentage

Hutt Valley
of all inpatient elective and

Lakes
arranged surgery. The

MidCentral
grey line denotes the

Nelson Marlborough
nationwide DOSA rate.

Northland


Otago


Upper and lower

South Canterbury
confidence limits are shown

Southland
for each DHB result.

Tairawhiti
Results are presented as a

Taranaki
four quarter rolling average.

Waikato

Wairarapa

Waitemata

West Coast

Whanganui



50 60 70 80 90 100



DOSA rate (%)









Auckland Figure 12: Standardised

Bay of Plenty DOSA rates (actual

Canterbury against expected) for all

Capital & Coast

Counties Manukau

DHBs. These measure

Hawke's Bay the DOSA rate as a

Hutt Valley percentage of the sector

Lakes average for DOSA, once

MidCentral each DHB’s casemix has

Nelson Marlborough been adjusted for. One

Northland

Otago

hundred percent is

South Canterbury equivalent to the sector

Southland average. Results are

Tairawhiti presented as a four

Taranaki quarter rolling average.

Waikato


Wairarapa


Waitemata


West Coast


Whanganui




60 80 100 120



Standardised DOSA rate (%)









10 DHB Hospital Benchmark Information: December 2009

Did Not Attends



Auckland

Figure 13: DNA rate for all

Bay of Plenty

Canterbury DHBs. This measures

Capital & Coast numbers of patients who

Counties Manukau failed to attend a specialist

Hawke's Bay clinical appointment as a

Hutt Valley percentage of all such

Lakes

MidCentral

appointments in the

Nelson Marlborough

quarter. The grey line

Northland
denotes the nationwide

Otago
DNA rate. Upper and

South Canterbury lower confidence limits are

Southland shown for each DHB result.

Tairawhiti

Whanganui DHB did not

Taranaki

Waikato

provide data for the current

Wairarapa
quarter.

Waitemata


West Coast




2 4 6 8 10 12



Did not attend (%)









Organisational Health



The Organisational Health quadrant contains three measures: staff turnover (Figure

14); sick leave (Figure 15); and workplace illnesses or injuries (Figure 16).



From 1 July 2006 the definition of sick leave has been modified, so that results are

expressed against accrued full time equivalent (FTE) hours, rather than against

contracted employee hours as was the case previously. Otago DHB has not been

able to provide data for accrued FTEs, and so contracted employee hours has been

used in place of accrued FTEs.









DHB Hospital Benchmark Information: December 2009 11

Staff Turnover



Auckland Figure 14: Staff turnover

Bay of Plenty for all DHBs. Turnover

Canterbury measures resignations

Capital & Coast

Counties Manukau

during the quarter as a

Hawke's Bay percentage of total

Hutt Valley workforce headcount. The

Lakes grey line denotes the

MidCentral nationwide staff turnover

Nelson Marlborough

result. Upper and lower

Northland

Otago

confidence limits are shown

South Canterbury for each DHB result.

Southland Results are presented as a

Tairawhiti four quarter rolling average.

Taranaki

Waikato

Wairarapa

Waitemata

West Coast

Whanganui



1 1.5 2 2.5 3 3.5



Staff turnover (%)









Sick Leave



Auckland Figure 15: Staff sick leave

Bay of Plenty for all DHBs. This

Canterbury

measures sick leave hours

Capital & Coast

Counties Manukau

as a percentage of total

Hawke's Bay accrued FTE hours. The

Hutt Valley grey line denotes a simple

Lakes unweighted average of the

MidCentral results for all DHBs. Upper

Nelson Marlborough and lower confidence limits

Northland

are shown for each DHB

Otago

South Canterbury

result. Otago DHB has

Southland reported sick leave against

Tairawhiti contracted employee hours

Taranaki rather than accrued FTE

Waikato hours.

Wairarapa

Waitemata

West Coast

Whanganui



1.5 2 2.5 3 3.5



Staff sick leave (%)







12 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries





Auckland Figure 16: Workplace

Bay of Plenty illnesses or injuries for all

Canterbury

DHBs. This measures the

Capital & Coast

Counties Manukau

number of work-related

Hawke's Bay
illnesses or injuries leading

Hutt Valley
to time off, per one million

Lakes hours worked by hospital

MidCentral employees. The grey line

Nelson Marlborough denotes the nationwide

Northland

result for workplace

Otago

South Canterbury

illnesses or injuries.

Southland
Upper and lower

Tairawhiti
confidence limits are

Taranaki shown for each DHB

Waikato result. Results are

Wairarapa presented as a four

Waitemata

quarter rolling average.

West Coast

Whanganui

Wairarapa DHB reported

no injuries or illnesses in

0 5 10 15 20 25 30

the reporting period.

Workplace illnesses or injuries (/1,000,000 hrs)









DHB Hospital Benchmark Information: December 2009 13

DHB Hospital Benchmark Information: September 2009 14







Consolidated Results Against Non-Financial Measures

Table 1: HBI non-financial measures for the December 2009 quarter, grouped according to DHB size. Measures are expressed as

percentages, except for: workforce injuries and illnesses (rate per 1,000,000); acute readmissions and HABSI (rate for both is per 1,000); and

actual ALOS (days). Fuller descriptions are given in Appendix I. The three highest and lowest values for each measure are shaded.

DHB Organisational Health Quality and Patient Outcome Process and Efficiency

Staff Sick Workforce Emergency Triage Rates Acute Re- Overall HABSI ALOS Day surgery DOSA DNA

Turnover Leave Injuries or Triage 1 Triage 2 Triage 3 admission Patient Rate Std. Rate Std. Rate Std.

Illnesses Rate Satis- Rate Rate Rate

faction



Small

South Canterbury 1.97 2.52 11.94 100.0 83.1 79.8 61.8 93.3 0.03 4.39 103 59.3 110 97.9 113 3.25

Tairawhiti* 2.48 1.95 8.47 61.6 91.1 0.03 3.87 100 50.2 91 77.5 88 10.84

Wairarapa 2.19 2.02 0.00 100.0 100.0 99.7 69.1 91.6 0.05 3.41 88 69.4 105 96.6 109 6.51

West Coast* 2.51 2.21 19.03 100.0 95.8 89.0 56.9 0.03 3.55 90 60.7 112 57.9 66 9.59

Whanganui* 1.77 1.92 5.99 100.0 90.1 90.5 81.7 88.1 0.03 3.81 97 55.8 100 99.2 112



Medium

Bay of Plenty 2.00 2.47 4.87 100.0 63.2 42.4 56.3 88.8 0.07 4.51 111 55.8 99 85.9 99 9.58

Hawke's Bay 1.92 2.35 7.37 100.0 72.7 57.2 63.8 89.1 0.13 4.27 102 50.7 100 84.9 99 10.40

Hutt Valley 2.36 2.90 3.38 100.0 70.8 53.8 48.9 90.4 0.10 4.11 97 53.8 97 67.0 80 7.58

Lakes 2.83 2.36 6.72 95.5 86.8 81.2 61.9 85.3 0.11 3.73 98 62.2 99 95.9 109 7.44

MidCentral 1.86 2.86 5.66 100.0 85.5 68.8 65.6 86.8 0.18 4.82 113 55.3 103 96.9 111 7.56

Nelson Marlborough 3.00 2.80 15.78 100.0 79.0 70.0 55.0 92.4 0.11 3.54 85 60.6 107 97.7 113 5.93

Northland 3.12 3.18 9.10 100.0 76.9 57.5 64.2 89.2 0.18 3.76 92 62.8 105 89.8 105 11.29

Southland 2.06 2.88 5.38 100.0 49.2 45.7 56.0 86.9 0.14 4.39 100 62.6 111 70.7 82 9.28

Taranaki 2.08 2.31 5.91 100.0 69.7 44.1 65.1 89.5 0.03 4.16 100 51.0 89 88.0 103 6.85



Large

Auckland 2.25 3.10 4.20 100.0 68.5 43.3 70.6 88.7 0.31 4.76 100 52.1 100 63.8 97 9.00

Canterbury 1.49 2.81 7.82 100.0 78.9 38.5 53.2 90.2 0.07 4.36 96 49.9 95 78.9 99 6.21

Capital & Coast 2.89 2.66 11.86 100.0 55.7 24.9 73.8 83.7 0.14 4.64 95 49.0 99 75.4 103 8.38

Counties Manukau 2.34 3.43 9.25 100.0 59.1 30.5 57.5 86.1 0.08 3.81 99 60.3 99 84.2 100 10.13

Otago 1.83 3.33 17.33 100.0 59.8 36.9 48.2 89.2 0.21 4.92 98 45.8 97 82.7 109 8.60

Waikato 2.29 2.98 2.49 100.0 67.2 39.6 62.7 90.0 0.27 4.81 107 52.7 98 71.8 92 10.79

Waitemata 2.31 3.01 9.55 100.0 62.7 37.2 66.4 88.1 0.04 4.14 103 50.8 107 91.0 105 9.66

* Not all information supplied in this quarter.

Consolidated Results Against Financial Measures

Table 2: HBI financial measures for the December 2009 quarter, grouped according to DHB size. Debt to debt plus equity is a percentage,

revenue to fixed assets and capital expenditure to depreciation are ratios. Staff cost ratios are measured in thousands of dollars per workforce

FTE and annualised. Fuller descriptions are given in Appendix I. The three highest and lowest values for each measure are shaded.

Staff Cost Ratios ($1,000/FTE)

DHB Debt to Debt Revenue to Capital Medical Nursing Allied Support Managerial Total

plus Equity (%) Fixed Assets Expenditure to Health and Admin.

Depreciation



Small

South Canterbury 30.8 2.71 1.52 306.3 72.6 67.1 41.5 62.7 82.3

Tairawhiti 37.0 1.62 0.30 255.7 73.8 63.7 48.1 55.0 86.3

Wairarapa 91.8 1.31 1.55 247.4 74.9 68.1 48.3 48.3 79.4

West Coast 42.2 1.56 0.70 297.1 76.9 54.2 44.4 51.7 75.4

Whanganui 55.0 1.29 1.29 220.0 69.8 67.1 40.2 51.3 79.1

Medium

Bay of Plenty 55.0 1.67 1.98 200.9 73.1 63.6 43.4 56.2 80.2

Hawke's Bay 55.1 2.16 0.92 159.8 73.0 64.8 45.7 56.1 76.3

Hutt Valley 32.9 1.53 3.85 181.3 76.3 65.2 44.3 58.5 80.4

Lakes 1.0 2.04 1.83 188.4 72.4 68.7 45.2 56.9 81.4

MidCentral 37.5 1.75 0.60 184.4 72.0 65.6 40.8 53.3 81.2

Nelson Marlborough 30.6 1.46 2.81 219.8 76.1 56.2 44.9 57.4 77.2

Northland 28.4 2.50 1.16 194.3 71.0 64.1 43.6 58.3 77.6

Southland 68.3 1.32 0.75 211.7 74.5 65.7 56.0 56.8 83.7

Taranaki 29.3 1.65 1.03 192.0 72.6 61.9 41.4 60.9 78.0

Large

Auckland 37.9 1.20 1.17 175.8 73.0 68.7 39.1 77.9 89.1

Canterbury 26.1 1.86 1.01 174.9 68.8 62.9 45.3 53.3 76.3

Capital & Coast 79.5 0.89 1.48 153.4 74.3 67.4 44.5 57.0 81.3

Counties Manukau 48.0 1.45 1.75 166.2 70.3 65.4 46.9 67.9 82.0

Otago 46.2 1.90 0.80 193.4 72.9 66.7 43.8 55.5 82.6

Waikato 28.5 2.03 3.38 198.5 73.9 64.8 41.7 57.1 81.3

Waitemata 49.2 1.47 1.25 177.6 73.9 66.2 48.9 66.7 83.5









DHB Hospital Benchmark Information: September 2009 15

Patient Satisfaction Survey Response Rates

Table 3: Inpatient and outpatient response rates to

the national patient satisfaction survey, expressed as a

percentage. Higher response rates are preferred.

DHB Inpa tie nt Outpa tie nt

Re sponse Ra te Re sponse Ra te

Auckland (%)

33.5 (%)

32.4

Bay of Plenty 23.7 28.2

Canterbury 38.9 43.9

Capital & Coast 29.8 24.6

Counties Manukau 13.0 40.7

Hawke's Bay 27.7 25.3

Hutt Valley 33.8 26.8

Lakes 29.4 29.2

MidCentral 48.6 54.5

Nelson Marlborough 41.1 44.0

Northland 34.0 34.7

Otago 27.3 29.7

South Canterbury 33.1 33.9

Southland 42.0 42.9

Tairawhiti 26.5 23.5

Taranaki 38.4 36.3

W aikato 38.4 40.6

W airarapa 34.8 40.7

W aitemata 28.3 35.5

W est Coast 0.0 0.0

W hanganui 39.9 42.2



A ll DHBs 30.6 34.2









16 DHB Hospital Benchmark Information: December 2009

Hospital Benchmark Information by District Health Board

Introduction



This Section is intended to allow a rapid overall assessment of the performance of any

individual DHB, including comparisons against nationwide DHB performance. It

presents HBI results for all 21 DHBs in alphabetical sequence. The actual hospitals

administered by each DHB are listed in Appendix II.



Information is presented in three ways for each DHB. First, a tabulated summary is

provided of results against all HBI measures. Second, results over time are presented

for each non-financial measure. Third, more detailed results for patient satisfaction

are presented. Explanations of both the tables and figures are given in the following

three sections.



Explanation of Summary Tables



HBI results for each DHB are summarised in Tables 5 to 25, which can be found in

this Section. These tables provide the following information against each HBI

measure, where relevant:

 the units in which the measure is expressed

 the DHB result for the December 2009 quarter

 the nationwide quarterly result based on data from all DHBs

 any relevant target, which at present only includes ACEM targets for

emergency triage rates

 a performance-related ranking of the DHB’s result against other DHBs.

Numbers in brackets signify the total number of DHBs who supplied information

for the measure in question

 an indication of whether the measure has trended up or down compared to the

same period in the previous year, i.e., since the December 2008 quarter.

Where variance is less than five percent, it is considered to be unchanged.



Where a result is one of the three highest or lowest results for DHBs across the

country, the row is shaded.



A ranking of 1 is somewhat suggestive of strong performance, while a ranking of 21 is

somewhat suggestive of poorer performance. Such a ranking is necessarily simplistic

and ignores the special circumstances of each DHB, and more nuanced

interpretations that can be applied to each measure (Appendix I). The purpose of

providing a ranking is not to assign a performance judgement, but to facilitate DHBs in

benchmarking their performance against other DHBs. The interpretation used for the

purpose of assigning rankings against each measure is given in Table 4.









DHB Hospital Benchmark Information: December 2009 17

Table 4: The interpretations used for the purpose of assigning rankings. In many cases

these are simplifications, and fuller interpretations are given in Appendix I.

Measure Interpretation

Emergency triage rates Higher percentages are preferred

Acute readmission rate Lower rates are preferred

Patient satisfaction Higher percentages are preferred

Hospital associated S. aureus Lower rates are preferred

bloodstream infections

Average length of stay Lower values for ALOS and standardised ALOS are preferred

Day surgery rate Higher values for day surgery rates and standardised day

surgery rates are preferred

Day of surgery admission rate Higher values for DOSA rates and standardised DOSA rates

are preferred

Did not attends Lower rates are preferred

Staff turnover Lower rates are preferred

Sick leave Lower rates are preferred

Workplace illnesses or injuries Lower rates are preferred

Debt to debt plus equity No interpretation is given and no ranking assigned

Revenue to fixed assets Higher ratios are preferred

Capital expenditure to depreciation No interpretation is given and no ranking assigned

Staff cost ratios Lower cost ratios are preferred







Explanation of Figures Showing Results Over Time



Figures .1 to .16 (where  is DHB-specific) in this Section show trends against time

for non-financial HBI performance measures over the past three years.



Quality and Patient Outcome



Four measures are collected as part of the Quality and Patient Outcome quadrant:

emergency triage rates; acute readmissions; patient satisfaction; and HABSI.



From 1 July 2006 the HABSI measure has replaced the previously reported hospital

acquired bloodstream infection measure, and differs from it through the inclusion of

only those infections arising from S. aureus, rather than encompassing all infectious

agents. Following delayed implementation of the new measure, a four quarter rolling

average has became available for all DHBs in recent quarters.



Process and Efficiency



Four measures are collected as part of the Process and Efficiency Quadrant: ALOS;

day surgery rate; DOSA rate; and DNA.





Organisational Health



Three measures are collected as part of the organisational health quadrant: staff

turnover; sick leave; and workplace illnesses or injuries.





18 DHB Hospital Benchmark Information: December 2009

Explanation of Patient Satisfaction Results



Figures numbered .17 (where  is DHB-specific) present detailed patient satisfaction

results for the December 2009 quarter. These figures are based on responses to the

Likert questions contained in the national Patient Satisfaction Survey; results are

aggregated into scores for four dimensions (Respect, Co-ordination, Information, and

Physical) and presented in this report, along with the score for overall patient

satisfaction. Appendix III gives more specific detail about the basis for each of these

five measures of patient satisfaction.









DHB Hospital Benchmark Information: December 2009 19

Auckland DHB Hospitals: Summary Information

Table 5: Summary of Auckland DHB results against all HBI performance measures. Trend indicators:

▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change over four

quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings suggest

poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 68.5 68.5 80.0 13(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 43.3 47.6 75.0 13(20) ▲

minutes

Acute Readmission Rate readmissions per 1,000 discharges 70.6 62.2 19(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 88.7 88.6 13(20) ■

Respect aggregated % score for Respect 86.7 86.8 13(20) ■

dimension

Information aggregated % score for Information 81.5 82.1 14(20) ■

dimension

Coordination aggregated % score for Co-ordination 83.7 84.3 16(20) ■

dimension

Physical aggregated % score for Physical 83.9 83.8 11(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.31 0.13 21(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.76 4.33 18(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 99.7 13(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 52.1 54.3 14(21) ■

Standardised Rate day surgery as % of expected day 100.3 9(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 63.8 80.0 20(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 96.8 16(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 9.00 8.65 12(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.25 2.25 11(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 3.10 2.67 18(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 4.20 7.76 4(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 37.9 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.20 1.51 20(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.17 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 175.8 181.6 5(21) ▲

Nursing for nursing personnel 73.0 72.5 11(21) ■

Allied Health for allied health professional staff 68.7 65.1 21(21) ■

Support for support staff 39.1 44.2 1(21) ■

Management and Administration for managers and administrators 77.9 60.7 21(21) ■

Total for total provider arm workforce 89.1 81.5 21(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









20 DHB Hospital Benchmark Information: December 2009

Auckland DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)



100

Figure A.1: Triage 1 rate

95

against time for Auckland

Triage 1 rate (%)









DHB hospitals over the last

90 three years. Also shown is

the triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 8









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professional immediately.

ar









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Quarter

Auckland all DHBs







100 Figure A.2: Triage 2 rate

90 against time for Auckland

DHB hospitals over the last

Triage 2 rate (%)









80

three years. Also shown is

70

the triage 2 rate for all DHBs

60 nationwide, over the same

50 period. The ACEM

40 recommendation is that 80

30

percent of triage 2 patients

should be seen by a health

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professional within 10

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minutes.

Quarter

Auckland all DHBs









100

Figure A.3: Triage 3 rate

90 against time for Auckland

Triage 3 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60 the triage 3 rate for all DHBs

50 nationwide over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

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professional within 30

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Quarter minutes.

Auckland all DHBs







DHB Hospital Benchmark Information: December 2009 21

Acute Readmission Rate (Quality and Patient Outcome)

80

Acute readmission rate (‰)





75 Figure A.4: Acute

70 readmission rate against

65 time for Auckland DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45

DHBs nationwide over the

40

same period. Results are

35

presented as a four quarter

rolling average.

Se 7









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Quarter

Auckland all DHBs









Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure A.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Auckland DHB hospitals over

88

the last three years. Also

shown is overall patient

86

satisfaction for all DHBs

84

nationwide over the same

82 period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 7









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Quarter

Auckland all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure A.6: HABSI rate

0.4 against time for Auckland

HABSI rate (‰)









DHB hospitals, for seven

0.3

quarters since introduction of

0.2

the amended HABSI

measure. Also shown is the

0.1 HABSI rate for all DHBs

nationwide since the March

0 2008 quarter, by which time

most DHBs had collected

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four quarters of data.

D









Quarter Results are presented as a

Auckland all DHBs four quarter rolling average.





22 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5 Figure A.7: ALOS against

time for Auckland DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









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M 6



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Quarter

Auckland all DHBs









115

Figure A.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

percentage of the expected

100 ALOS, weighted to take

account of the Auckland

DHB hospital casemix.

Results are presented as a

85 four quarter rolling average.

Se 9

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Quarter







Day Surgery Rate (Process and Efficiency)



75

Figure A.9: Day surgery

70

Day surgery rate (%)









rate against time for

65

Auckland DHB hospitals

60

over the last three years.

55

Also shown is the day

50

surgery rate for all DHBs

45

nationwide over the same

40

period. Results are

35

presented as a four quarter

rolling average.

Se 7









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DHB Hospital Benchmark Information: December 2009 23

Standardised day surgery rate (%) 115

Figure A.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100

of the expected result for

day surgery, weighted to

take account of the Auckland

DHB hospital casemix.

85

Results are presented as a

four quarter rolling average.

Se 7









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Quarter





Day of Surgery Admission Rate (Process and Efficiency)





100

Figure A.11: DOSA rate

90 against time for Auckland

DOSA rate (%)









80

DHB hospitals over the last

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









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Auckland all DHBs









150

Standardised DOSA rate (%)









Figure A.12: Standardised

125 DOSA rate, that is, actual

DOSA rate expressed as a

100 percentage of the expected

DOSA rate, weighted to take

75 account of the Auckland

DHB hospital casemix.

50 Results are presented as a

four quarter rolling average.

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Quarter









24 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)



16 Figure A.13: DNA rate

14 against time for Auckland

Did not attends (%)







12 DHB hospitals over the last

three years. Also shown is

10

the DNA rate for all DHBs

8

nationwide over the same

6 period.

4

2

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Quarter

Auckland all DHBs







Staff Turnover (Organisational Health)

5 Figure A.14: Staff turnover

against time for Auckland

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









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M 6



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Quarter

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Sick Leave (Organisational Health)

4.5 Figure A.15: Sick leave

4 against time for Auckland

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

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Auckland all DHBs









DHB Hospital Benchmark Information: December 2009 25

Workplace Illnesses or Injuries (Organisational Health)



25 Figure A.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for Auckland DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5

injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









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Quarter

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Auckland DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









89.7 89.0

90 88.7

87.6 87.1

86.7

84.8 84.7

83.7 83.9

85 82.5 83.0

81.5 82.2

80.9

80





75





70

Total









Total

Total









Total









Total









Outpatient









Inpatient



Outpatient

Inpatient



Outpatient









Inpatient

Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure A.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Auckland DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









26 DHB Hospital Benchmark Information: December 2009

Bay of Plenty DHB Hospitals: Summary Information

Table 6: Summary of Bay of Plenty DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 63.2 68.5 80.0 15(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 42.4 47.6 75.0 14(20) ■

minutes

Acute Readmission Rate readmissions per 1,000 discharges 56.3 62.2 6(21) ▲

Patient Satisfaction**

Overall % score for overall satisfaction 88.8 88.6 12(20) ■

Respect aggregated % score for Respect 87.3 86.8 10(20) ■

dimension

Information aggregated % score for Information 82.6 82.1 8(20) ■

dimension

Coordination aggregated % score for Co-ordination 85.0 84.3 10(20) ■

dimension

Physical aggregated % score for Physical 85.0 83.8 8(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.07 0.13 9(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.51 4.33 16(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 111.2 20(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 55.8 54.3 9(21) ■

Standardised Rate day surgery as % of expected day 99.0 14(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 85.9 80.0 10(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 99.0 14(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 9.58 8.65 14(21) ■

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.00 2.25 7(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.47 2.67 8(21) ▼

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 4.87 7.76 5(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 55.0 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.67 1.51 9(21) ■

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.98 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 200.9 181.6 14(21) ■

Nursing for nursing personnel 73.1 72.5 12(21) ▲

Allied Health for allied health professional staff 63.6 65.1 5(21) ■

Support for support staff 43.4 44.2 7(21) ▲

Management and Administration for managers and administrators 56.2 60.7 9(21) ■

Total for total provider arm workforce 80.2 81.5 9(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









DHB Hospital Benchmark Information: December 2009 27

Bay of Plenty DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure B.1: Triage 1 rate

95

against time for Bay of

Triage 1 rate (%)









Plenty DHB hospitals over

90 the last three years. Also

shown is the triage 1 rate for

85

all DHBs nationwide over the

80 same period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju

D









Quarter

Bay of Plenty all DHBs









100

Figure B.2: Triage 2 rate

90 against time for Bay of

Triage 2 rate (%)









80 Plenty DHB hospitals over

70 the last three years. Also

60

shown is the triage 2 rate for

all DHBs nationwide over the

50

same period. The ACEM

40 recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-









professional within 10

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter minutes.

Bay of Plenty all DHBs









100

Figure B.3: Triage 3 rate

90

against time for Bay of

Triage 3 rate (%)









80 Plenty DHB hospitals over

70 the last three years. Also

60 shown is the triage 3 rate for

50 all DHBs nationwide over the

40 same period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









professional within 30

ar









ar









ar

Ju









Ju

D









Quarter minutes.

Bay of Plenty all DHBs







28 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure B.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for Bay of Plenty DHB

60

hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Bay of Plenty all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94 Figure B.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Bay of Plenty DHB hospitals

88

over the last three years.

Also shown is overall patient

86

satisfaction for all DHBs

84

nationwide over the same

82 period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-









in Figure B.17.)

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter

Bay of Plenty all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure B.6: HABSI rate

against time for Bay of

0.4 Plenty DHB hospitals, for

HABSI rate (‰)









eight quarters since

0.3

introduction of the amended

0.2

HABSI measure. Also

shown is the HABSI rate for

0.1 all DHBs nationwide since

the March 2008 quarter, by

0

which time most DHBs had

collected four quarters of

Se 7









Se 8









Se 9

M 6









D 7







Ju 8

Ju 7









M 7









D 8



M 8



Ju 9







D 9

9

0

-0



-0

-0



-0









0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









data. Results are presented

D









Quarter as a four quarter rolling

Bay of Plenty all DHBs average.





DHB Hospital Benchmark Information: December 2009 29

Average Length of Stay (Process and Efficiency)

5.5

Figure B.7: ALOS against

time for Bay of Plenty DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Bay of Plenty all DHBs









115

Figure B.8: Standardised

ALOS, that is, the actual

ALOS expressed as a

ALOS rate (%)









percentage of the expected

100 ALOS, weighted to take

account of the Bay of Plenty

DHB hospital casemix.

Results are presented as a

85 four quarter rolling average.

07









Se 8









Se 9

M 6

7









D 7



M 7

8









D 8



M 8



Ju 9







D 9

9

-0



-0









0



-0



-0









0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter







Day Surgery Rate (Process and Efficiency)

75

Figure B.9: Day surgery

70 rate against time for Bay of

Day surgery rate (%)









65 Plenty DHB hospitals over

60 the last three years. Also

55 shown is the day surgery

50 rate for all DHBs nationwide

45 over the same period.

40 Results are presented as a

35 four quarter rolling average.

Se 7









Se 8









09

Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

M 6









9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Bay of Plenty all DHBs









30 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115

Figure B.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100

of the expected result for

day surgery, weighted to

take account of the Bay of

Plenty DHB hospital

85 casemix. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6

7









D 7



M 7

8









D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.

ar









ar









ar

Ju









Ju

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure B.11: DOSA rate

90 against time for Bay of

Plenty DHB hospitals over

DOSA rate (%)









80

the last three years. Also

70 shown is the DOSA rate for

60 all DHBs nationwide over the

same period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Bay of Plenty all DHBs









150 Figure B.12:

Standardised DOSA rate (%)









Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a

100 percentage of the

expected DOSA rate,

75

weighted to take account

of the Bay of Plenty DHB

hospital casemix. Results

50

are presented as a four

Se 7









Se 8









Se 9

M 6

7









D 7



M 7

8









D 8



M 8



Ju 9







D 9

9









quarter rolling average.

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter









DHB Hospital Benchmark Information: December 2009 31

Did Not Attends (Process and Efficiency)

16 Figure B.13: DNA rate

14 against time for Bay of

Did not attends (%)









12 Plenty DHB hospitals over

10

the last three years. Also

shown is the DNA rate for all

8

DHBs nationwide over the

6 same period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Bay of Plenty all DHBs







Staff Turnover (Organisational Health)

5

Figure B.14: Staff turnover

against time for Bay of Plenty

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 9

Se 7









08

M 6



Ju 7







D 7









9

M 7

8







D 8



M 8

9







D 9

-0

-0



-0







0



-0



-0







0



-0



-0







0

0

0

p-









p-









p-

n-









n-









n-

ec









ec









ec

ec

ar









ar









ar

Ju









Ju

Se

D









Quarter

Bay of Plenty all DHBs









Sick Leave (Organisational Health)

4.5

Figure B.15: Sick leave

4 against time for Bay of

Plenty DHB hospitals over

Sick leave (%)









3.5

the last three years. Also

3 shown is the sick leave rate

2.5 for all DHBs nationwide over

the same period.

2



1.5

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7









D 8









D 9

8









M 8

9









9

-0



-0







0



-0









0

-0







0



-0



-0









-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Bay of Plenty all DHBs









32 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure B.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for Bay of Plenty DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









08









Se 9

D 7

M 6









M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0









0

-0









-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec

rolling average.









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter

Bay of Plenty all DHBs









Bay of Plenty DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









91.5

90.4

90 88.8

87.1 87.3 87.3 87.3 86.8

85.0 85.0

85 83.5 83.6 83.3

82.6

81.2

80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure B.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Bay of Plenty DHB hospitals. Total results are broken down

into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









DHB Hospital Benchmark Information: December 2009 33

Canterbury DHB Hospitals: Summary Information

Table 7: Summary of Canterbury DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 78.9 68.5 80.0 8(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 38.5 47.6 75.0 16(20) ▲

minutes

Acute Readmission Rate readmissions per 1,000 discharges 53.2 62.2 3(21) ▼

Patient Satisfaction**

Overall % score for overall satisfaction 90.2 88.6 6(20) ■

Respect aggregated % score for Respect 88.2 86.8 7(20) ■

dimension

Information aggregated % score for Information 83.7 82.1 6(20) ■

dimension

Coordination aggregated % score for Co-ordination 84.6 84.3 12(20) ■

dimension

Physical aggregated % score for Physical 86.3 83.8 5(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.07 0.13 8(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.36 4.33 13(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 96.2 6(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 49.9 54.3 19(21) ▲

Standardised Rate day surgery as % of expected day 94.6 19(21) ▲

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 78.9 80.0 14(21) ▲

Standardised Rate DOSA as % of expected DOSA (casemix 99.2 13(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 6.21 8.65 4(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 1.49 2.25 1(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.81 2.67 12(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 7.82 7.76 12(21) ▲

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 26.1 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.86 1.51 7(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.01 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 174.9 181.6 4(21) ▲

Nursing for nursing personnel 68.8 72.5 1(21) ■

Allied Health for allied health professional staff 62.9 65.1 4(21) ■

Support for support staff 45.3 44.2 15(21) ■

Management and Administration for managers and administrators 53.3 60.7 4(21) ■

Total for total provider arm workforce 76.3 81.5 2(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









34 DHB Hospital Benchmark Information: December 2009

Canterbury DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure Cb.1: Triage 1 rate

95

against time for Canterbury

Triage 1 rate (%)









DHB hospitals over the last

90 three years. Also shown is

the triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8



M 8

9









D 9

Ju 7









9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju

D









Quarter

Canterbury all DHBs









100

Figure Cb.2: Triage 2 rate

90 against time for Canterbury

Triage 2 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60

the triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 10

Ju









Ju

D









Quarter minutes.

Canterbury all DHBs









100

Figure Cb.3: Triage 3 rate

90

against time for Canterbury

Triage 3 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60 the triage 3 rate for all DHBs

50 nationwide, over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 30

Ju









Ju

D









Quarter minutes.

Canterbury all DHBs







DHB Hospital Benchmark Information: December 2009 35

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure Cb.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for Canterbury DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for

45 all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0









0



-0



-0









0



-0



-0









0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Canterbury all DHBs









Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure Cb.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Canterbury DHB hospitals

88 over the last three years.

86

Also shown is overall patient

satisfaction for all DHBs

84

nationwide over the same

82

period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









in Figure Cb.17.)

Ju









Ju



Se

D









Quarter

Canterbury all DHBs







Healthcare Associated S.aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure Cb.6: HABSI rate

0.4 against time for Canterbury

HABSI rate (‰)









DHB hospitals, for nine

0.3

quarters since introduction of

0.2

the amended HABSI

measure. Also shown is the

0.1 HABSI rate for all DHBs

nationwide since the March

0

2008 quarter, by which time

most DHBs had collected four

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju



Se









quarters of data. Results are

D









Quarter presented as a four quarter

Canterbury all DHBs rolling average.





36 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure Cb.7: ALOS against

time for Canterbury DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6









9

Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

-0









-0

-0







0



-0









0



-0



-0







0

-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Canterbury all DHBs









115

Figure Cb.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

100

percentage of the expected

ALOS, weighted to take

account of the Canterbury

DHB hospital casemix.

Results are presented as a

85

four quarter rolling average.

Se 9

Se 7









Se 8









9









D 9

9

M 6









M 7

8









D 8



M 8

7









D 7









0



-0



-0







0



-0

-0



-0







0



-0



-0









0

0

0









p-

p-

p-









n-

n-

n-









ec

ec

ec









ec









ar

ar









ar









Ju

Ju

Ju

D









Quarter







Day Surgery Rate (Process and Efficiency)



75 Figure Cb.9: Day surgery

70 rate against time for

Day surgery rate (%)









65 Canterbury DHB hospitals

60 over the last three years.

55 Also shown is the day

50 surgery rate for all DHBs

45 nationwide over the same

40 period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7









9

8









D 8



M 8

9









D 9

-0



-0







0



-0









-0

-0







0



-0



-0







0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec

ec

ar









ar









ar

Ju









Ju

D









Quarter

Canterbury all DHBs









DHB Hospital Benchmark Information: December 2009 37

Standardised day surgery rate (%) 115

Figure Cb.10:

Standardised day surgery

rate, that is, actual day

100 surgery rate expressed as a

percentage of the expected

result for day surgery,

weighted to take account of

85

the Canterbury DHB

hospital casemix. Results









Se 9

Se 7









Se 8









9









D 9

9

M 6

7









D 7







8









D 8



M 8

M 7







are presented as a four









0



-0

-0



-0







0



-0



-0







0



-0



-0



0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec









ec

ar









ar









ar

Ju

Ju









Ju

D









quarter rolling average.

Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure Cb.11: DOSA rate

90 against time for Canterbury

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0









-0

-0







0



-0



-0







0



-0



-0







0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Canterbury all DHBs









150

Standardised DOSA rate (%)









Figure Cb.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Canterbury DHB hospital

casemix. Results are

50 presented as a four quarter

rolling average.

07









Se 8









Se 9

D 7



M 7









D 8



M 8









D 9

9

8

M 6

7









9

0



-0



-0







0



-0









0



-0

-0



-0









-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec

ec









ar

ar









ar

Ju









Ju









Ju

Se

D









Quarter









38 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16

Figure Cb.13: DNA rate

14 against time for Canterbury

Did not attends (%)







12 DHB hospitals over the last

10 three years. Also shown is

8

the DNA rate for all DHBs

nationwide over the same

6

period.

4



2

Se 7









Se 8









Se 9

M 6









9

Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

-0









0



-0









-0

-0









-0







0



-0



-0







0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Canterbury all DHBs







Staff Turnover (Organisational Health)

5

Figure Cb.14: Staff turnover

against time for Canterbury

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 8









Se 9

M 6









M 7









M 8









D 9

9

Ju 7







D 7







8









D 8







9

-0



-0







0



-0



-0







0



-0









0



-0

-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Canterbury all DHBs







Sick Leave (Organisational Health)



4.5

Figure Cb.15: Sick leave

4

against time for Canterbury

Sick leave (%)









3.5 DHB hospitals over the last

3

three years. Also shown is

the sick leave rate for all

2.5 DHBs nationwide over the

2 same period.

1.5

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8



M 8

9









D 9

Ju 7









9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Canterbury all DHBs









DHB Hospital Benchmark Information: December 2009 39

Workplace Illnesses or Injuries (Organisational Health)



25

Figure Cb.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for Canterbury DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.

ar









ar









ar

Ju









Ju

D









Quarter

Canterbury all DHBs









Canterbury DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









91.4

90.2 90.5

90 88.2 88.2 88.7

87.2

86.0 86.3

84.3 84.6 84.3

85 83.7

82.2 82.9





80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure Cb.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Canterbury DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









40 DHB Hospital Benchmark Information: December 2009

Capital & Coast DHB Hospitals: Summary Information

Table 8: Summary of Capital & Coast DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 55.7 68.5 80.0 19(20) ▼

minutes

Triage 3 % triage 3 patients seen within 30 24.9 47.6 75.0 20(20) ▼

minutes

Acute Readmission Rate readmissions per 1,000 discharges 73.8 62.2 20(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 83.7 88.6 20(20) ■

Respect aggregated % score for Respect 80.8 86.8 20(20) ■

dimension

Information aggregated % score for Information 76.6 82.1 20(20) ■

dimension

Coordination aggregated % score for Co-ordination 77.7 84.3 20(20) ■

dimension

Physical aggregated % score for Physical 78.7 83.8 20(20) ▲

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.14 0.13 15(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.64 4.33 17(21) ▼

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 95.2 5(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 49.0 54.3 20(21) ▲

Standardised Rate day surgery as % of expected day 99.1 13(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 75.4 80.0 16(21) ▲

Standardised Rate DOSA as % of expected DOSA (casemix 102.6 11(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 8.38 8.65 10(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.89 2.25 19(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.66 2.67 10(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 11.86 7.76 17(21) ▲

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 79.5 44.3 ■

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 0.89 1.51 21(21) ■

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.48 1.50 ▼

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 153.4 181.6 1(21) ■

Nursing for nursing personnel 74.3 72.5 16(21) ■

Allied Health for allied health professional staff 67.4 65.1 18(21) ■

Support for support staff 44.5 44.2 12(21) ■

Management and Administration for managers and administrators 57.0 60.7 12(21) ▼

Total for total provider arm workforce 81.3 81.5 13(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









DHB Hospital Benchmark Information: December 2009 41

Capital & Coast DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure CC.1: Triage 1 rate

95

against time for Capital &

Triage 1 rate (%)









Coast DHB hospitals over

90 the last three years. Also

shown is the triage 1 rate for

85

all DHBs nationwide over the

80 same period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7









D 8



M 8









9

D 7



M 7

8









9









D 9

-0



-0









0

0



-0



-0









-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

professional immediately.

Ju









Ju



Se

D









Quarter

Capital & Coast all DHBs









100 Figure CC.2: Triage 2

90 rate against time for

Capital & Coast DHB

Triage 2 rate (%)









80

hospitals over the last

70

three years. Also shown is

60

the triage 2 rate for all

50 DHBs nationwide over the

40 same period. The ACEM

30 recommendation is that 80

percent of triage 2 patients

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









9

9









D 9

-0



-0







0



-0









-0

-0







0



-0



-0







0

0









0









should be seen by a health

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter professional within 10

minutes.

Capital & Coast all DHBs









100 Figure CC.3: Triage 3 rate

90 against time for Capital &

Coast DHB hospitals over

Triage 3 rate (%)









80

70 the last three years. Also

60 shown is the triage 3 rate for

50 all DHBs nationwide, over

40 the same period. The

30 ACEM recommendation is

20 that 75 percent of triage 3

patients should be seen by a

Se 7









Se 8









Se 9

M 6









9

Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

-0



-0







0



-0



-0







0



-0









-0

-0







0

0









0









0

p-









p-









p-

n-









n-









n-









health professional within 30

ec









ec

ec









ec

ar









ar









ar

Ju









Ju

D









Quarter minutes.

Capital & Coast all DHBs







42 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure CC.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for Capital & Coast

60 DHB hospitals over the last

55 three years. Also shown is

50 the acute readmission rate

45 for all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Capital & Coast all DHBs









Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure CC.5: Overall

Patient satisfaction (%)









92 patient satisfaction against

90 time for Capital & Coast

88 DHB hospitals over the last

86

three years. Also shown is

overall patient satisfaction

84

for all DHBs nationwide over

82

the same period. Capital &

80 Coast DHB did not supply

data for September 2009

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju









quarter and quarters from

D









Quarter December 2006 to

Capital & Coast all DHBs December 2007, with the

exception of partial data for

the September 2007 quarter.



Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5 Figure CC.6: HABSI rate

against time for Capital &

0.4

Coast DHB hospitals, for

HABSI rate (‰)









0.3 seven quarters since

introduction of the amended

0.2 HABSI measure. Also shown

is the HABSI rate for all DHBs

0.1

nationwide since the March

0 2008 quarter, by which time

most DHBs had collected four

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0









quarters of data. Results are

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju

D









Quarter

presented as a four quarter

rolling average.

Capital & Coast all DHBs





DHB Hospital Benchmark Information: December 2009 43

Average Length of Stay (Process and Efficiency)

5.5

Figure CC.7: ALOS against

time for Capital & Coast

5 DHB hospitals over the last

ALOS (days)









three years. Also shown is

4.5 the ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









D 9

9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Capital & Coast all DHBs









115

Figure CC.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

percentage of the expected

100

ALOS, weighted to take

account of the Capital &

Coast DHB hospital

casemix. Results are

85

presented as a four quarter

rolling average.

Se 9

Se 7









Se 8

8









M 8

9









D 9

9

M 6









D 7



M 7









D 8

7









-0

-0









0







-0









0



-0



-0









0

-0









-0

0









0









0

p-









p-









p-

n-

n-









n-









ec

ec









ec

ec









ar









ar

ar









Ju

Ju









Ju

D









Quarter







Day Surgery Rate (Process and Efficiency)



Figure CC.9: Day surgery

75

rate against time for Capital

70

& Coast DHB hospitals over

Day surgery rate (%)









65

the last three years. Also

60

shown is the day surgery

55 rate for all DHBs nationwide

50 over the same period.

45 Results are presented as a

40 four quarter rolling average.

35

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Capital & Coast all DHBs









44 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115 Figure CC.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100 percentage of the expected

result for day surgery,

weighted to take account of

the Capital & Coast DHB

85

hospital casemix. Results

are presented as a four









Se 9

Se 7









Se 8









D 9

M 6

7









D 7



M 7









D 8



M 8

9

8









9

quarter rolling average.

-0









0



-0









-0







0

-0









-0

-0







0



-0

0









0

0









p-

p-









p-

n-









n-

n-

ec









ec









ec









ec

ar









ar









ar

Ju

Ju









Ju

D









Quarter









Day of Surgery Admission (Process and Efficiency)



100

Figure CC.11: DOSA rate

90 against time for Capital &

Coast DHB hospitals over

DOSA rate (%)









80

the last three years. Also

70 shown is the DOSA rate for

60 all DHBs nationwide over

the same period. Results

50

are presented as a four

40 quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Capital & Coast all DHBs









150

Standardised DOSA rate (%)









Figure CC.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Capital & Coast DHB

hospital casemix. Results

50 are presented as a four

quarter rolling average.

Se 7









Se 8









Se 9

D 7









D 8

M 7









M 8









9

8









9









D 9

M 6

7









-0

-0







0









0

-0









-0









0

-0









-0









-0

0









0









0

p-









p-









p-

n-









n-

n-









ec

ec









ec

ec









ar









ar

ar









Ju









Ju

Ju

D









Quarter









DHB Hospital Benchmark Information: December 2009 45

Did Not Attends (Process and Efficiency)

16

Figure CC.13: DNA rate

14 against time for Capital &

Did not attends (%)









12 Coast DHB hospitals over

10 the last three years. Also

8

shown is the DNA rate for all

DHBs nationwide over the

6

same period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









9

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Capital & Coast all DHBs







Staff Turnover (Organisational Health)

5

Figure CC.14: Staff turnover

against time for Capital &

a

Staff turnover (%)









4 Coast DHB hospitals over

the last three years. Also

3 shown is the staff turnover

rate for all DHBs nationwide

2 over the same period.

Results are presented as a

1 four quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Capital & Coast all DHBs







Sick Leave (Organisational Health)



4.5 Figure CC.15: Sick leave

against time for Capital &

4

Coast DHB hospitals over

Sick leave (%)









3.5 the last three years. Also

3

shown is the sick leave rate

for all DHBs nationwide

2.5 over the same period.

2



1.5

Se 7









Se 8









09

M 6



Ju 7









M 7

8









D 8



M 8









9

D 7









9









D 9

-0



-0









0

0



-0



-0









-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

Ju









Ju



Se

D









Quarter

Capital & Coast all DHBs









46 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure CC.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for Capital & Coast

15 DHB hospitals over the last

three years. Also shown is

10

the rate of workplace

5 illnesses or injuries for all

DHBs nationwide over the

0 same period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

rolling average.

Ju









Ju

D









Quarter

Capital & Coast all DHBs









Capital & Coast DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90



83.7 84.3

85 83.4 82.7

80.8 81.3

80.2

79.0 78.7

80 77.7 78.3 78.0

76.6 77.4



75 73.7





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure CC.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Capital & Coast DHB hospitals. Total results are broken down

into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









DHB Hospital Benchmark Information: December 2009 47

Counties Manukau DHB Hospitals: Summary Information

Table 9: Summary of Counties Manukau DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 59.1 68.5 80.0 18(20) ▼

minutes

Triage 3 % triage 3 patients seen within 30 30.5 47.6 75.0 19(20) ▼

minutes

Acute Readmission Rate readmissions per 1,000 discharges 57.5 62.2 8(21) ▼

Patient Satisfaction**

Overall % score for overall satisfaction 86.1 88.6 18(20) ■

Respect aggregated % score for Respect 84.6 86.8 19(20) ■

dimension

Information aggregated % score for Information 81.5 82.1 15(20) ■

dimension

Coordination aggregated % score for Co-ordination 81.6 84.3 18(20) ■

dimension

Physical aggregated % score for Physical 82.4 83.8 16(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.08 0.13 10(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 3.81 4.33 7(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 98.9 11(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 60.3 54.3 7(21) ■

Standardised Rate day surgery as % of expected day 99.2 12(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 84.2 80.0 12(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 100.5 12(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 10.13 8.65 17(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.34 2.25 14(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 3.43 2.67 21(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 9.25 7.76 15(21) ▲

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 48.0 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.45 1.51 16(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.75 1.50 ▼

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 166.2 181.6 3(21) ■

Nursing for nursing personnel 70.3 72.5 3(21) ■

Allied Health for allied health professional staff 65.4 65.1 11(21) ■

Support for support staff 46.9 44.2 17(21) ▼

Management and Administration for managers and administrators 67.9 60.7 20(21) ■

Total for total provider arm workforce 82.0 81.5 15(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









48 DHB Hospital Benchmark Information: December 2009

Counties Manukau DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure CM.1: Triage 1 rate

95

against time for Counties

Triage 1 rate (%)









Manukau DHB hospitals

90 over the last three years.

Also shown is the triage 1

85

rate for all DHBs nationwide

80 over the same period. The

ACEM recommendation is

75 that 100 percent of triage 1

patients should be seen by a

Se 7









Se 8









Se 9

M 6



Ju 7









M 7

8









D 8



M 8

D 7









9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

health professional

Ju









Ju

D









Quarter immediately.

Counties Manukau all DHBs









100

Figure CM.2: Triage 2 rate

90 against time for Counties

Triage 2 rate (%)









80 Manukau DHB hospitals

70 over the last three years.

60

Also shown is the triage 2

rate for all DHBs nationwide

50

over the same period. The

40

ACEM recommendation is

30 that 80 percent of triage 2

patients should be seen by a

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









health professional within 10

Ju









Ju

D









Quarter minutes.

Counties Manukau all DHBs









100

Figure CM.3: Triage 3 rate

90

against time for Counties

Triage 3 rate (%)









80 Manukau DHB hospitals

70 over the last three years.

60 Also shown is the triage 3

50 rate for all DHBs nationwide

40 over the same period. The

30 ACEM recommendation is

20 that 75 percent of triage 3

patients should be seen by a

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









health professional within 30

Ju









Ju

D









Quarter minutes.

Counties Manukau all DHBs







DHB Hospital Benchmark Information: December 2009 49

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure CM.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for Counties Manukau

60 DHB hospitals over the last

55 three years. Also shown is

50 the acute readmission rate

45 for all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0









0



-0



-0









0



-0



-0









0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Counties Manukau all DHBs









Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure CM.5: Overall

Patient satisfaction (%)









92 patient satisfaction against

90 time for Counties Manukau

88 DHB hospitals over the last

86

three years. Also shown is

overall patient satisfaction

84

for all DHBs nationwide over

82

the same period. (Detailed

80 results for patient

satisfaction in the latest

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









quarter are presented in

Ju









Ju



Se

D









Quarter Figure CM.17.)

Counties Manukau all DHBs









Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5 Figure CM.6: HABSI rate

against time for Counties

0.4 Manukau DHB hospitals, for

HABSI rate (‰)









10 quarters since introduction

0.3

of the amended HABSI

0.2

measure. Also shown is the

HABSI rate for all DHBs

0.1 nationwide since the March

2008 quarter, by which time

0

most DHBs had collected four

quarters of data. Results are

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju



Se









presented as a four quarter

D









Quarter rolling average.

Counties Manukau all DHBs





50 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure CM.7: ALOS against

time for Counties Manukau

5 DHB hospitals over the last

ALOS (days)









three years. Also shown is

4.5 the ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Counties Manukau all DHBs







115

Standardised ALOS (%)









Figure CM.8: Standardised

ALOS, that is, the actual

ALOS expressed as a

100 percentage of the expected

ALOS, weighted to take

account of the Counties

Manukau DHB hospital

85 casemix. Results are

presented as a four quarter

Se 9

Se 8

Se 7









9









D 9

9

M 8

M 7

8









D 8

M 6

7









D 7









0



-0

0



-0



-0

0



-0



-0

-0



-0









0

0

0









rolling average.

p-

p-

p-









n-

n-

n-









ec

ec

ec

ec









ar

ar

ar









Ju

Ju

Ju

D









Quarter





Day Surgery Rate (Process and Efficiency)



75 Figure CM.9: Day surgery

70 rate against time for

Day surgery rate (%)









65 Counties Manukau DHB

60 hospitals over the last three

55 years. Also shown is the

50 day surgery rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Counties Manukau all DHBs









DHB Hospital Benchmark Information: December 2009 51

Standardised day surgery rate (%) 115

Figure CM.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the Counties Manukau DHB

85 hospital casemix. Results

are presented as a four

07









Se 8









Se 9

D 7



M 7

8









M 8

9









D 9

9

M 6

7









D 8

0



-0



-0







0



-0



-0







0



-0

-0



-0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec

ec









ar









ar

ar









quarter rolling average.

Ju









Ju









Ju

Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure CM.11: DOSA rate

90 against time for Counties

Manukau DHB hospitals

DOSA rate (%)









80

over the last three years.

70 Also shown is the DOSA

60 rate for all DHBs nationwide

over the same period.

50

Results are presented as a

40 four quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Counties Manukau all DHBs









150

Standardised DOSA rate (%)









Figure CM.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Counties Manukau DHB

hospital casemix. Results

50 are presented as a four

quarter rolling average.

07









Se 8









Se 9



D 9

9

D 7



M 7

8









D 8



M 8

9

M 6

7









0



-0

0



-0



-0







0



-0

-0









-0

-0









0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec

ec









ar









ar

ar









Ju









Ju

Ju



Se

D









Quarter









52 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16

Figure CM.13: DNA rate

14 against time for Counties

Did not attends (%)







12 Manukau DHB hospitals

10 over the last three years.

8

Also shown is the DNA rate

for all DHBs nationwide over

6

the same period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Counties Manukau all DHBs







Staff Turnover (Organisational Health)

5

Figure CM.14: Staff

turnover against time for

a

Staff turnover (%)









4 Counties Manukau DHB

hospitals over the last three

3 years. Also shown is the

staff turnover rate for all

2 DHBs nationwide over the

same period. Results are

1 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Counties Manukau all DHBs









Sick Leave (Organisational Health)

4.5

Figure CM.15: Sick leave

4 against time for Counties

Manukau DHB hospitals

Sick leave (%)









3.5

over the last three years.

3 Also shown is the sick leave

2.5 rate for all DHBs nationwide

over the same period. .

2



1.5

Se 7









Se 8









Se 9

M 7

8









D 8



M 8

M 6



Ju 7







D 7









9









D 9

9

0



-0

-0



-0







0



-0



-0









-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec



ar

ar









ar

Ju









Ju

D









Quarter

Counties Manukau all DHBs







DHB Hospital Benchmark Information: December 2009 53

Workplace Illnesses or Injuries (Organisational Health)



25

Figure CM.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for Counties Manukau

15 DHB hospitals over the last

three years. Also shown is

10

the rate of workplace

5 illnesses or injuries for all

DHBs nationwide over the

0 same period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar rolling average.

Ju









Ju

D









Quarter

Counties Manukau all DHBs









Counties Manukau DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90.0

90 87.8

86.1

84.6 85.2

85 83.9

82.4 82.5 82.4

81.1 81.5 81.6



80

77.4 77.1 76.9



75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure CM.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Counties Manukau DHB hospitals. Total results are broken

down into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









54 DHB Hospital Benchmark Information: December 2009

Hawke’s Bay DHB Hospitals: Summary Information

Table 10: Summary of Hawke’s Bay DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 72.7 68.5 80.0 10(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 57.2 47.6 75.0 9(20) ■

minutes

Acute Readmission Rate readmissions per 1,000 discharges 63.8 62.2 13(21) ▲

Patient Satisfaction**

Overall % score for overall satisfaction 89.1 88.6 11(20) ■

Respect aggregated % score for Respect 87.0 86.8 12(20) ■

dimension

Information aggregated % score for Information 82.2 82.1 12(20) ■

dimension

Coordination aggregated % score for Co-ordination 85.6 84.3 8(20) ■

dimension

Physical aggregated % score for Physical 84.3 83.8 10(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.13 0.13 14(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.27 4.33 12(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 101.6 16(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 50.7 54.3 17(21) ■

Standardised Rate day surgery as % of expected day 99.6 10(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 84.9 80.0 11(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 98.5 15(21) ▼

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 10.40 8.65 18(21) ▲

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 1.92 2.25 5(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.35 2.67 6(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 7.37 7.76 11(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 55.1 44.3 ■

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 2.16 1.51 3(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 0.92 1.50 ▼

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 159.8 181.6 2(21) ■

Nursing for nursing personnel 73.0 72.5 10(21) ▲

Allied Health for allied health professional staff 64.8 65.1 9(21) ■

Support for support staff 45.7 44.2 16(21) ▲

Management and Administration for managers and administrators 56.1 60.7 8(21) ▼

Total for total provider arm workforce 76.3 81.5 3(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









DHB Hospital Benchmark Information: December 2009 55

Hawke’s Bay DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure HB.1: Triage 1 rate

95

against time for Hawke’s

Triage 1 rate (%)









Bay DHB hospitals over the

90 last three years. Also shown

is the triage 1 rate for all

85

DHBs nationwide over the

80 same period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju

D









Quarter

Haw ke's Bay all DHBs









100

Figure HB.2: Triage 2 rate

90 against time for Hawke’s

Triage 2 rate (%)









80 Bay DHB hospitals over the

70 last three years. Also shown

60

is the triage 2 rate for all

DHBs nationwide over the

50

same period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 10

Ju









Ju

D









Quarter minutes.

Haw ke's Bay all DHBs









100

Figure HB.3: Triage 3 rate

90

against time for Hawke’s

Triage 3 rate (%)









80 Bay DHB hospitals over the

70

last three years. Also

60 shown is the triage 3 rate for

50 all DHBs nationwide over

40 the same period. The

30 ACEM recommendation is

20 that 75 percent of triage 3

patients should be seen by a

Se 8









Se 9

Se 7









D 9

D 7



M 7

8









D 8



M 8

9









9

M 6



Ju 7









0

0



-0



-0







0



-0



-0









-0

-0



-0









0









0

0









p-









p-

p-









n-









n-

n-









ec

ec









ec

ec









ar









ar

ar









health professional within 30

Ju









Ju

D









Quarter minutes.

Haw ke's Bay all DHBs









56 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure HB.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for Hawke’s Bay DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for

45 all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Haw ke's Bay all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure HB.5: Overall

Patient satisfaction (%)









92 patient satisfaction against

90 time for Hawke’s Bay DHB

88 hospitals over the last three

86

years. Also shown is overall

patient satisfaction for all

84

DHBs nationwide over the

82

same period. (Detailed

80 results for patient

satisfaction in the latest

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









quarter are presented in

Ju









Ju

D









Quarter Figure HB.17.)

Haw ke's Bay all DHBs









Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5 Figure HB.6: HABSI rate

against time for Hawke’s Bay

0.4 DHB hospitals, for seven

HABSI rate (‰)









quarters since introduction of

0.3

the amended HABSI

0.2

measure. Also shown is the

HABSI rate for all DHBs

0.1 nationwide since the March

2008 quarter, by which time

0

most DHBs had collected

four quarters of data.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Results are presented as a

D









Quarter four quarter rolling average.

Haw ke's Bay all DHBs





DHB Hospital Benchmark Information: December 2009 57

Average Length of Stay (Process and Efficiency)

5.5

Figure HB.7: ALOS against

time for Hawke’s Bay DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6









M 7

8

Ju 7







D 7









D 8



M 8









D 9

9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Haw ke's Bay all DHBs









115

Figure HB.8:

Standardised ALOS (%)









Standardised ALOS, that

is, the actual ALOS

100

expressed as a

percentage of the

expected ALOS, weighted

to take account of the

Hawke’s Bay DHB

85

hospital casemix. Results

Se 7









Se 8









Se 9

7









D 7



M 7

8

M 6









D 8



M 8

9









D 9

9









are presented as a four

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju









Ju









quarter rolling average.

D









Quarter









Day Surgery Rate (Process and Efficiency)



75

70

Figure HB.9: Day surgery

Day surgery rate (%)









rate against time for

65

Hawke’s Bay DHB hospitals

60

over the last three years.

55

Also shown is the day

50

surgery rate for all DHBs

45

nationwide over the same

40

period. Results are

35

presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6









M 7

8









D 8

Ju 7







D 7









M 8









9

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Haw ke's Bay all DHBs





58 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115

Figure HB.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the Hawke’s Bay DHB

85 hospital casemix. Results

are presented as a four

Se 7









Se 9

Se 8

M 6

7









D 7









9

D 9

M 7

8









D 8



M 8

9

0









0



-0

-0



-0









-0



-0







0







-0

-0

0









0

0

p-









p-

p-

n-









n-

n-

ec









ec

ec









ec

ar









ar









ar

quarter rolling average.

Ju









Ju









Ju

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure HB.11: DOSA rate

90 against time for Hawke’s

Bay DHB hospitals over the

DOSA rate (%)









80

last three years. Also shown

70 is the DOSA rate for all

60 DHBs nationwide over the

same period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Haw ke's Bay all DHBs









150

Standardised DOSA rate (%)









Figure HB.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Hawke’s Bay DHB

hospital casemix. Results

50 are presented as a four

quarter rolling average.

Se 7









Se 8









Se 9

M 6









D 7



M 7









D 8

8









M 8









D 9

9

7









9

0









0



-0

-0









0

-0









-0



-0









-0



-0

0









0

0









p-

p-









p-

n-









n-









n-

ec









ec

ec









ec

ar









ar









ar

Ju









Ju

Ju

D









Quarter









DHB Hospital Benchmark Information: December 2009 59

Did Not Attends (Process and Efficiency)

16

Figure HB.13: DNA rate

14 against time for Hawke’s

Did not attends (%)









12 Bay DHB hospitals over the

10 last three years. Also shown

8

is the DNA rate for all DHBs

nationwide over the same

6

period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









9

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Haw ke's Bay all DHBs







Staff Turnover (Organisational Health)

5

Figure HB.14: Staff turnover

against time for Hawke’s

a

Staff turnover (%)









4 Bay DHB hospitals over the

last three years. Also shown

3 is the staff turnover rate for

all DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Haw ke's Bay all DHBs







Sick Leave (Organisational Health)



4.5

Figure HB.15: Sick leave

4

against time for Hawke’s Bay

Sick leave (%)









3.5 DHB hospitals over the last

3

three years. Also shown is

the sick leave rate for all

2.5 DHBs nationwide over the

2 same period.

1.5

Se 7









Se 8









09

M 6



Ju 7









M 7

8









D 8



M 8









9

D 7









9









D 9

-0



-0









0

0



-0



-0









-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

Ju









Ju



Se

D









Quarter

Haw ke's Bay all DHBs









60 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure HB.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for Hawke’s Bay DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses

5 or injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

rolling average.

Ju









Ju

D









Quarter

Haw ke's Bay all DHBs









Hawke’s Bay DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90.8

90.0

89.1

90 87.6 87.5

87.0 86.8

85.6 85.6 85.6

84.3

85 83.4

82.2 81.5

79.3

80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure HB.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Hawke’s Bay DHB hospitals. Total results are broken down

into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









DHB Hospital Benchmark Information: December 2009 61

Hutt Valley DHB Hospital: Summary Information

Table 11: Summary of Hutt Valley DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 70.8 68.5 80.0 11(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 53.8 47.6 75.0 10(20) ■

minutes

Acute Readmission Rate readmissions per 1,000 discharges 48.9 62.2 2(21) ▼

Patient Satisfaction**

Overall % score for overall satisfaction 90.4 88.6 5(20) ▲

Respect aggregated % score for Respect 86.2 86.8 15(20) ■

dimension

Information aggregated % score for Information 81.8 82.1 13(20) ■

dimension

Coordination aggregated % score for Co-ordination 85.0 84.3 11(20) ■

dimension

Physical aggregated % score for Physical 80.2 83.8 18(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.10 0.13 11(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.11 4.33 9(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 96.7 7(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 53.8 54.3 12(21) ■

Standardised Rate day surgery as % of expected day 96.8 18(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 67.0 80.0 19(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 80.2 20(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 7.58 8.65 9(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.36 2.25 15(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.90 2.67 15(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 3.38 7.76 3(21) ■

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 32.9 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.53 1.51 13(21) ■

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 3.85 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 181.3 181.6 7(21) ▲

Nursing for nursing personnel 76.3 72.5 20(21) ▲

Allied Health for allied health professional staff 65.2 65.1 10(21) ▲


Support for support staff 44.3 44.2 10(21) ▲


Management and Administration for managers and administrators 58.5 60.7 16(21) ■


Total for total provider arm workforce 80.4 81.5 10(21) ▲


* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









62 DHB Hospital Benchmark Information: December 2009

Hutt Valley DHB Hospital: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure HV.1: Triage 1 rate

95

against time for the Hutt

Triage 1 rate (%)









Valley DHB hospital over the

90 last three years. Also shown

is the triage 1 rate for all

85

DHBs nationwide over the

80 same period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju

D









Quarter

Hutt Valley all DHBs









100

Figure HV.2: Triage 2 rate

90 against time for the Hutt

Triage 2 rate (%)









80 Valley DHB hospital over the

70 last three years. Also shown

60

is the triage 2 rate for all

DHBs nationwide over the

50

same period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8









9

Ju 7









M 8

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 10

Ju









Ju

D









Quarter minutes.

Hutt Valley all DHBs









100

Figure HV.3: Triage 3 rate

90

against time for the Hutt

Triage 3 rate (%)









80 Valley DHB hospital over the

70 last three years. Also shown

60 is the triage 3 rate for all

50 DHBs nationwide over the

40 same period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen within 30

Se 7









Se 8









Se 9

M 6









8









D 8









9

Ju 7







D 7



M 7









M 8

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









minutes.

Ju









Ju

D









Quarter

Hutt Valley all DHBs







DHB Hospital Benchmark Information: December 2009 63

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure HV.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for the Hutt Valley DHB

60 hospital over the last three

55 years. Also shown is the

50 acute readmission rate for

45 all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 8









Se 9

Se 7









D 9

D 7



M 7

8









D 8



M 8

9









9

M 6



Ju 7









-0



-0







0

-0



-0







0









-0

-0



-0







0









0









0

0









p-









p-

p-









n-









n-

n-









ec

ec









ec

ec









ar









ar

ar









Ju









Ju

D









Quarter

Hutt Valley all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure HV.5: Overall

Patient satisfaction (%)









92 patient satisfaction against

90 time for the Hutt Valley DHB

88 hospital over the last three

86

years. Also shown is overall

patient satisfaction for all

84

DHBs nationwide over the

82

same period. (Detailed

80 results for patient

satisfaction in the latest

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8









D 9

9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









quarter are presented in

Ju









Ju

D









Quarter Figure HV.17.)

Hutt Valley all DHBs









Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5 Figure HV.6: HABSI rate

against time for the Hutt

0.4 Valley DHB hospital, for nine

HABSI rate (‰)









quarters since introduction of

0.3

the amended HABSI

0.2

measure. Also shown is the

HABSI rate for all DHBs

0.1 nationwide since the March

2008 quarter, by which time

0

most DHBs had collected

four quarters of data.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Results are presented as a

D









Quarter four quarter rolling average.

Hutt Valley all DHBs





64 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure HV.7: ALOS against

time for Hutt Valley DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









D 9

9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Hutt Valley all DHBs









115

Figure HV.8:

Standardised ALOS (%)









Standardised ALOS, that

is, the actual ALOS

expressed as a

100

percentage of the

expected ALOS, weighted

to take account of the Hutt

Valley DHB hospital

85 casemix. Results are

presented as a four

Se 7









08









Se 9

M 6

7









D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









quarter rolling average.

Ju









Ju









Ju

Se

D









Quarter









Day Surgery Rate (Process and Efficiency)



75

Figure HV.9: Day surgery

70

rate against time for Hutt

Day surgery rate (%)









65 Valley DHB hospitals over

60

the last three years. Also

55 shown is the day surgery

50 rate for all DHBs nationwide

45 over the same period.

40 Results are presented as a

35 four quarter rolling average.

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Hutt Valley all DHBs







DHB Hospital Benchmark Information: December 2009 65

Standardised day surgery rate (%) 115

Figure HV.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the Hutt Valley DHB hospital

85 casemix. Results are

presented as a four quarter









Se 9

07









Se 8

M 6

7









D 7









D 8



M 8

9









D 9

9

M 7

8









-0

-0



-0







0



-0









0



-0



-0







0

-0









0

0

p-









p-









p-

n-

n-









n-

ec









ec









ec









ec

ar









ar









ar

rolling average.









Ju

Ju









Ju

Se

D









Quarter





Day of Surgery Admission Rate (Process and Efficiency)



Figure HV.11: DOSA rate

90

against time for Hutt Valley

80

DHB hospitals over the last

70 three years. Also shown is

DOSA rate (%)









60

the DOSA rate for all DHBs

50 nationwide over the same

40 period. Results are

30 presented as a four quarter

20 rolling average. The dip in

10 DOSA stemmed from an

error in information reporting

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8



M 8









9

Ju 7









9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju









from Hutt Valley DHB. This

D









Quarter error has been corrected

Hutt Valley all DHBs from the December 2007

quarter onwards.



125 Figure HV.12: Standardised

Standardised DOSA rate (%)









DOSA rate, that is, actual

100

DOSA rate expressed as a

percentage of the expected

DOSA rate, weighted to take

75

account of the Hutt Valley

DHB hospital casemix.

50

Results are presented as a

four quarter rolling average.

25

The dip in DOSA stemmed

Se 9

Se 7









Se 8



D 8



M 8

9









D 9

9

M 6

7









D 7



M 7

8









from an error in information

-0



-0







0



-0

-0









0

-0







0



-0



-0









0

0









0

p-









p-









p-

n-

n-









n-

ec









ec









ec

ec









ar

ar









ar

Ju









Ju

Ju









reporting from Hutt Valley

D









Quarter DHB. This error has been

corrected from the December

2007 quarter onwards.









66 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16

Figure HV.13: DNA rate

14 against time for the Hutt

Did not attends (%)







12 Valley DHB hospital over

10 the last three years. Also

8 shown is the DNA rate for all

6

DHBs nationwide over the

same period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









9

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Hutt Valley all DHBs









Staff Turnover (Organisational Health)

5

Figure HV.14: Staff turnover

against time for the Hutt

a

Staff turnover (%)









4

Valley DHB hospital over the

last three years. Also shown

3

is the staff turnover rate for

all DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Hutt Valley all DHBs









Sick Leave (Organisational Health)

4.5

Figure HV.15: Sick leave

4 against time for the Hutt

Valley DHB hospital over the

Sick leave (%)









3.5

last three years. Also shown

3 is the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

Se 7









Se 8









Se 9

M 6



Ju 7









D 8



M 8









9

D 7



M 7

8









9









D 9

-0



-0









-0



-0







0

0









-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

Ju









Ju

D









Quarter

Hutt Valley all DHBs









DHB Hospital Benchmark Information: December 2009 67

Workplace Illnesses or Injuries (Organisational Health)



25

Figure HV.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for the Hutt Valley DHB

15 hospital over the last three

years. Also shown is the

10

rate of workplace illnesses

5 or injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar rolling average.

Ju









Ju

D









Quarter

Hutt Valley all DHBs









Hutt Valley DHB Hospital: Patient Satisfaction

100





95

Patient satisfaction (%)









90.4 90.5 90.4

90

86.8 87.3

86.2 85.6

84.3 85.0 84.6

85 83.7

81.8

80.2

79.1 79.4

80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure HV.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for the Hutt Valley DHB hospital. Total results are broken down

into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









68 DHB Hospital Benchmark Information: December 2009

Lakes DHB Hospitals: Summary Information

Table 12: Summary of Lakes DHB results against all HBI performance measures. Trend indicators: ▲

= up over four quarters, ▼ = down over four quarters, ■ = less than five percent change over four

quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings suggest

poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 95.5 99.9 100.0 20(20) ■

Triage 2 % triage 2 patients seen within 10 86.8 68.5 80.0 4(20) ▲

minutes

Triage 3 % triage 3 patients seen within 30 81.2 47.6 75.0 4(20) ▲

minutes

Acute Readmission Rate readmissions per 1,000 discharges 61.9 62.2 11(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 85.3 88.6 19(20) ■

Respect aggregated % score for Respect 85.4 86.8 18(20) ■

dimension

Information aggregated % score for Information 80.7 82.1 17(20) ■

dimension

Coordination aggregated % score for Co-ordination 81.6 84.3 19(20) ■

dimension

Physical aggregated % score for Physical 79.2 83.8 19(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.11 0.13 12(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 3.73 4.33 4(21) ▼

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 97.5 9(21) ▼

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 62.2 54.3 4(21) ■

Standardised Rate day surgery as % of expected day 98.8 15(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 95.9 80.0 6(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 109.4 5(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 7.44 8.65 7(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.83 2.25 18(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.36 2.67 7(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 6.72 7.76 10(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 1.0 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 2.04 1.51 4(21) ▼

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.83 1.50 ▼

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 188.4 181.6 9(21) ▼

Nursing for nursing personnel 72.4 72.5 6(21) ■

Allied Health for allied health professional staff 68.7 65.1 20(21) ▲

Support for support staff 45.2 44.2 14(21) ■

Management and Administration for managers and administrators 56.9 60.7 11(21) ■

Total for total provider arm workforce 81.4 81.5 14(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









DHB Hospital Benchmark Information: December 2009 69

Lakes DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)



Figure L.1: Triage 1 rate

100 against time for Lakes DHB

hospitals over the last three

95

years. Also shown is the

Triage 1 rate (%)









90 triage 1 rate for all DHBs

nationwide over the same

85 period. The ACEM

recommendation is that 100

80

percent of triage 1 patients

75 should be seen by a health

professional immediately.

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

Patient presented at hospital

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter front door and not through

the ambulance bay causing

Lakes all DHBs

a delay in treatment at

Lakes DHB.





100

Figure L.2: Triage 2 rate

90 against time for Lakes DHB

Triage 2 rate (%)









80 hospitals over the last three

70 years. Also shown is the

60

triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 10

Ju









Ju

D









Quarter minutes.

Lakes all DHBs









100

Figure L.3: Triage 3 rate

90

against time for Lakes DHB

Triage 3 rate (%)









80 hospitals over the last three

70 years. Also shown is the

60 triage 3 rate for all DHBs

50 nationwide over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









D 9

9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 30

Ju









Ju

D









Quarter minutes.

Lakes all DHBs





70 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure L.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for Lakes DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for

45 all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Lakes all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure L.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Lakes DHB hospitals over

88 the last three years. Also

86

shown is overall patient

satisfaction for all DHBs

84

nationwide over the same

82

period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8









D 9

9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









in Figure L.17.)

Ju









Ju

D









Quarter

Lakes all DHBs









Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)

0.5

Figure L.6: HABSI rate

0.4 against time for Lakes DHB

HABSI rate (‰)









hospitals, for 10 quarters

0.3 since introduction of the

amended HABSI measure.

0.2

Also shown is the HABSI

0.1 rate for all DHBs nationwide

since the March 2008

0 quarter, by which time most

DHBs had collected four

Se 8









Se 9

Se 7







M 7



Ju 8







D 8



M 8

M 6









Ju 9









9

Ju 7









D 9

D 7

-0



-0







0



-0



-0

-0



-0









0



-0

0









0

0









0

p-

p-









p-

n-

n-









n-

ec

ec









ec









ec

ar









ar

ar









quarters of data. Results are

D









Quarter presented as a four quarter

Lakes all DHBs

rolling average.





DHB Hospital Benchmark Information: December 2009 71

Average Length of Stay (Process and Efficiency)



5.5

Figure L.7: ALOS against

time for Lakes DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Lakes all DHBs









115

Figure L.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

percentage of the expected

100

ALOS, weighted to take

account of the Lakes DHB

hospital casemix. Results

are presented as a four

85 quarter rolling average.

Se 9

Se 8

Se 7









D 9

9

D 7



M 7









D 8



M 8

9

8

M 6

7









0



-0

0



-0



-0







0



-0



-0

-0



-0









0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar

ar









Ju

Ju

Ju

D









Quarter







Day Surgery Rate (Process and Efficiency)



75

Figure L.9: Day surgery

70

rate against time for Lakes

Day surgery rate (%)









65 DHB hospitals over the last

60

three years. Also shown is

55 the day surgery rate for all

50 DHBs nationwide over the

45 same period. Results are

40 presented as a four quarter

35 rolling average.

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8



M 8









D 9

9

Ju 7









9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Lakes all DHBs









72 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115

Figure L.10 Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100

of the expected result for

day surgery, weighted to

take account of the Lakes

DHB hospital casemix.

85 Results are presented as a

four quarter rolling average.

Se 7









Se 8









Se 9

D 7



M 7

8

M 6

7









D 8



M 8

9









D 9

9

0



-0



-0

-0



-0









0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju









Ju

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure L.11: DOSA rate

90 against time for Lakes DHB

hospitals over the last three

DOSA rate (%)









80

years. Also shown is the

70 DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Lakes all DHBs









150

Figure L.12: Standardised

Standardised DOSA rate (%)









DOSA rate, that is, actual

125 DOSA rate expressed as a

percentage of the expected

100 DOSA rate, weighted to take

account of the Lakes DHB

75 hospital casemix. Results

are presented as a four

50 quarter rolling average.

Se 7









Se 8









Se 9

D 7



M 7

8









D 8



M 8

9









D 9

9

M 6

7







0



-0



-0







0



-0



-0







0



-0

-0



-0









0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec

ec









ar









ar

ar









Ju

Ju









Ju

D









Quarter









DHB Hospital Benchmark Information: December 2009 73

Did Not Attends (Process and Efficiency)

16

Figure L.13: DNA rate

14 against time for Lakes DHB

Did not attends (%)









12 hospitals over the last three

10 years. Also shown is the

8

DNA rate for all DHBs

nationwide over the same

6

period.

4



2

Se 8









Se 9

Se 7









D 8



M 8









D 9

D 7



M 7

8









9









9

M 6



Ju 7





0



-0



-0







0



-0



-0







0



-0

-0



-0









0









0

0









p-









p-

p-









n-









n-

n-









ec

ec









ec

ec









ar









ar

ar









Ju









Ju

D









Quarter

Lakes all DHBs







Staff Turnover (Organisational Health)

5

Figure L.14: Staff turnover

against time for Lakes DHB

a

Staff turnover (%)









4 hospitals over the last three

years. Also shown is the

3 staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Lakes all DHBs







Sick Leave (Organisational Health)

4.5

Figure L.15: Sick leave

4 against time for Lakes DHB

hospitals over the last three

Sick leave (%)









3.5

years. Also shown is the

3 sick leave rate for all DHBs

2.5 nationwide over the same

period.

2



1.5

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Lakes all DHBs









74 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure L.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for Lakes DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses

5 or injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

rolling average.

Ju









Ju

D









Quarter

Lakes all DHBs









Lakes DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90

87.3 87.1

85.3 85.4

84.6 84.2

85 83.0 82.8 82.3 81.6

80.7

79.5 79.2

80 78.0 77.9



75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure L.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Lakes DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









DHB Hospital Benchmark Information: December 2009 75

MidCentral DHB Hospitals: Summary Information

Table 13: Summary of MidCentral DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 85.5 68.5 80.0 5(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 68.8 47.6 75.0 7(20) ■

minutes

Acute Readmission Rate readmissions per 1,000 discharges 65.6 62.2 16(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 86.8 88.6 17(20) ■

Respect aggregated % score for Respect 86.0 86.8 16(20) ■

dimension

Information aggregated % score for Information 80.0 82.1 19(20) ■

dimension

Coordination aggregated % score for Co-ordination 84.1 84.3 15(20) ■

dimension

Physical aggregated % score for Physical 82.5 83.8 15(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.18 0.13 18(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.82 4.33 20(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 113.1 21(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 55.3 54.3 11(21) ■

Standardised Rate day surgery as % of expected day 103.3 8(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 96.9 80.0 4(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 111.2 4(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 7.56 8.65 8(21) ■

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 1.86 2.25 4(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.86 2.67 13(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 5.66 7.76 7(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 37.5 44.3 ▼

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.75 1.51 8(21) ■

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 0.60 1.50 ▼

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 184.4 181.6 8(21) ■

Nursing for nursing personnel 72.0 72.5 5(21) ■

Allied Health for allied health professional staff 65.6 65.1 12(21) ■

Support for support staff 40.8 44.2 3(21) ■

Management and Administ ration for managers and administrators 53.3 60.7 5(21) ■

Total for total provider arm workforce 81.2 81.5 11(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









76 DHB Hospital Benchmark Information: December 2009

MidCentral DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure M.1: Triage 1 rate

95

against time for MidCentral

Triage 1 rate (%)









DHB hospitals over the last

90 three years. Also shown is

the triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju

D









Quarter

MidCentral all DHBs









100

Figure M.2: Triage 2 rate

90 against time for MidCentral

Triage 2 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60

the triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 10

Ju









Ju

D









Quarter minutes.

MidCentral all DHBs









100

Figure M.3: Triage 3 rate

90

against time for MidCentral

Triage 3 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60 the triage 3 rate for all DHBs

50 nationwide over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 30

Ju









Ju

D









Quarter minutes.

MidCentral all DHBs









DHB Hospital Benchmark Information: December 2009 77

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure M.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for MidCentral DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for

45 all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8









9

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

MidCentral all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure M.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 MidCentral DHB hospitals

88 over the last three years.

86

Also shown is overall patient

satisfaction for all DHBs

84

nationwide over the same

82

period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









9

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









in Figure M.17.)

Ju









Ju

D









Quarter

MidCentral all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure M.6: HABSI rate

0.4 against time for MidCentral

HABSI rate (‰)









DHB hospitals, for eight

0.3

quarters since introduction

0.2

of the amended HABSI

measure. Also shown is the

0.1 HABSI rate for all DHBs

nationwide since the March

0

2008 quarter, by which time

most DHBs had collected

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8







D 8







Ju 9







D 9

9

M 8

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









four quarters of data.

D









Quarter Results are presented as a

MidCentral all DHBs four quarter rolling average.





78 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure M.7: ALOS against

time for MidCentral DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

MidCentral all DHBs









115

Figure M.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

100

percentage of the expected

ALOS, weighted to take

account of the MidCentral

DHB hospital casemix.

Results are presented as a

85

four quarter rolling average.

09

Se 8

Se 7









D 9

9

D 7



M 7









D 8



M 8

9

8

M 6

7









0



-0

0



-0



-0







0



-0



-0

-0



-0



0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar

ar









Ju

Ju

Ju









Se

D









Quarter







Day Surgery Rate (Process and Efficiency)



75

Figure M.9: Day surgery rate

70 against time for MidCentral

Day surgery rate (%)









65 DHB hospitals over the last

60 three years. Also shown is the

55 day surgery rate for all DHBs

50 nationwide over the same

45 period. Results are presented

40 as a four quarter rolling

35 average.

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8



M 8









D 9

9

Ju 7









9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

MidCentral all DHBs









DHB Hospital Benchmark Information: December 2009 79

Standardised day surgery rate (%) 115

Figure M.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100

of the expected result for

day surgery, weighted to

take account of the

MidCentral DHB hospital

85 casemix. Results are

presented as a four quarter

07









Se 8









Se 9

D 7



M 7

8

M 6

7









D 8



M 8

9









D 9

9

0



-0



-0

-0



-0









0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

rolling average.

Ju









Ju









Ju

Se

D









Quarter









Day of Surgery Admission (Process and Efficiency)



100

Figure M.11: DOSA rate

90 against time for MidCentral

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8



M 8









9

Ju 7









9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

MidCentral all DHBs









150

Figure M.12: Standardised

Standardised DOSA rate (%)









DOSA rate, that is, actual

125 DOSA rate expressed as a

percentage of the expected

100 DOSA rate, weighted to take

account of the MidCentral

75 DHB hospital casemix.

Results are presented as a

50 four quarter rolling average.

07









Se 8









Se 9







9

M 6

7









D 7



M 7

8









D 8



M 8









D 9

9

-0



-0







0



-0



-0







0



-0









0



-0

-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju









Ju

Se

D









Quarter









80 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16 Figure M.13: DNA rate

14 against time for MidCentral

Did not attends (%)







12 DHB hospitals over the last

10

three years. Also shown is

the DNA rate for all DHBs

8

nationwide over the same

6 period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8









9

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

MidCentral all DHBs







Staff Turnover (Organisational Health)

5

Figure M.14: Staff turnover

against time for MidCentral

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

MidCentral all DHBs









Sick Leave (Organisational Health)

4.5

Figure M.15: Sick leave

4 against time for MidCentral

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

Se 7









Se 8









Se 9

M 6



Ju 7









D 8



M 8









9

D 7



M 7

8









9









D 9

-0



-0









-0



-0







0

0









-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

Ju









Ju

D









Quarter

MidCentral all DHBs









DHB Hospital Benchmark Information: December 2009 81

Workplace Illnesses or Injuries (Organisational Health)



25

Figure M.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for MidCentral DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses

5 or injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8

Ju 7









M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar rolling average.

Ju









Ju

D









Quarter

MidCentral all DHBs









MidCentral DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90 88.1

86.8 86.2 86.7

86.0 85.8 85.3

85.2

84.1

85 83.2 82.5

81.5 81.3

80.0

80

77.2



75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure M.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for MidCentral DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









82 DHB Hospital Benchmark Information: December 2009

Nelson Marlborough DHB Hospitals: Summary Information

Table 14: Summary of Nelson Marlborough DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 79.0 68.5 80.0 7(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 70.0 47.6 75.0 6(20) ■

minutes

Acute Readmission Rate readmissions per 1,000 discharges 55.0 62.2 4(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 92.4 88.6 2(20) ■

Respect aggregated % score for Respect 89.6 86.8 2(20) ■

dimension

Information aggregated % score for Information 86.5 82.1 1(20) ■

dimension

Coordination aggregated % score for Co-ordination 85.8 84.3 7(20) ■

dimension

Physical aggregated % score for Physical 87.4 83.8 3(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.11 0.13 12(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 3.54 4.33 2(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 85.2 1(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 60.6 54.3 6(21) ■

Standardised Rate day surgery as % of expected day 107.0 5(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 97.7 80.0 3(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 113.1 1(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 5.93 8.65 3(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 3.00 2.25 20(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.80 2.67 11(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 15.78 7.76 19(21) ▲

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 30.6 44.3 ■

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.46 1.51 15(21) ▼

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 2.81 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 219.8 181.6 16(21) ■

Nursing for nursing personnel 76.1 72.5 19(21) ▲

Allied Health for allied health professional staff 56.2 65.1 2(21) ■

Support for support staff 44.9 44.2 13(21) ■

Management and Administration for managers and administrators 57.4 60.7 14(21) ■

Total for total provider arm workforce 77.2 81.5 4(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









DHB Hospital Benchmark Information: December 2009 83

Nelson Marlborough DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure NM.1: Triage 1 rate

95

against time for Nelson

Triage 1 rate (%)









Marlborough DHB hospitals

90 over the last three years.

Also shown is the triage 1

85

rate for all DHBs nationwide

80 over the same period. The

ACEM recommendation is

75 that 100 percent of triage 1

patients should be seen by a

Se 7









Se 8









09

M 6



Ju 7









M 7

8









D 8



M 8

D 7









9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

health professional

Ju









Ju



Se

D









Quarter immediately.

Nelson Marlborough all DHBs









100

Figure NM.2: Triage 2 rate

90 against time for Nelson

Triage 2 rate (%)









80 Marlborough DHB hospitals

70 over the last three years.

60

Also shown is the triage 2

rate for all DHBs nationwide

50

over the same period. The

40

ACEM recommendation is

30 that 80 percent of triage 2

patients should be seen by a

Se 7









Se 8









09

M 6



Ju 7









M 7

8









D 8



M 8

9









D 9

9

D 7

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









health professional within 10

ar

ar









ar

Ju









Ju



Se

D









Quarter minutes.

Nelson Marlborough all DHBs









100

Figure NM.3: Triage 3 rate

90

against time for Nelson

Triage 3 rate (%)









80 Marlborough DHB hospitals

70 over the last three years.

60 Also shown is the triage 3

50 rate for all DHBs nationwide

40 over the same period. The

30 ACEM recommendation is

20 that 75 percent of triage 3

patients should be seen by a

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

0



-0









-0

-0



-0







0



-0



-0









-0







0

0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec



ar

ar









ar









health professional within 30

Ju









Ju



Se

D









Quarter minutes.

Nelson Marlborough all DHBs





84 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure NM.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for Nelson Marlborough

60 DHB hospitals over the last

55 three years. Also shown is

50 the acute readmission rate

45 for all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Nelson Marlborough all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure NM.5: Overall

Patient satisfaction (%)









92 patient satisfaction against

90 time for Nelson Marlborough

88 DHB hospitals over the last

86

three years. Also shown is

overall patient satisfaction

84

for all DHBs nationwide over

82

the same period. (Detailed

80 results for patient

satisfaction in the latest

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0









0

0



-0



-0









-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









quarter are presented in

ar

ar









ar

Ju









Ju

D









Quarter Figure NM.17.)

Nelson Marlborough all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure NM.6: HABSI rate

against time for Nelson

0.4 Marlborough DHB hospitals,

HABSI rate (‰)









for nine quarters since

0.3

introduction of the amended

0.2

HABSI measure. Also

shown is the HABSI rate for

0.1 all DHBs nationwide since

the March 2008 quarter, by

0

which time most DHBs had

collected four quarters of

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7



Ju 8







D 8



M 8



Ju 9







D 9

9

-0



-0









0

0



-0



-0









-0



-0







0



-0

0









0









0

p-

p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









data. Results are presented

D









Quarter as a four quarter rolling

Nelson Marlborough all DHBs average.





DHB Hospital Benchmark Information: December 2009 85

Average Length of Stay (Process and Efficiency)



5.5

Figure NM.7: ALOS against

time for Nelson Marlborough

5 DHB hospitals over the last

ALOS (days)









three years. Also shown is

4.5 the ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









09

M 7

8









D 8



M 8









D 9

9

M 6



Ju 7







D 7









9

0



-0

-0



-0







0



-0



-0









-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

Ju









Ju



Se

D









Quarter

Nelson Marlborough all DHBs









120 Figure NM.8: Standardised

ALOS, that is, the actual

Standardised ALOS (%)









ALOS expressed as a

percentage of the expected

100 ALOS, weighted to take

account of the Nelson

Marlborough DHB hospital

casemix. Results are

80

presented as a four quarter

rolling average.

Se 9

Se 8

Se 7









D 9

9

D 8



M 8

9

M 6

7









D 7



M 7

8









-0



-0







0



-0

0

-0



-0







0



-0



-0









0

0

0









p-

p-

p-









n-

n-

n-









ec

ec

ec









ec









ar

ar









ar









Ju

Ju









Ju

D









Quarter





Day Surgery Rate (Process and Efficiency)



75

Figure NM.9: Day surgery

70 rate against time for Nelson

Day surgery rate (%)









65 Marlborough DHB hospitals

60 over the last three years.

55 Also shown is the day

50 surgery rate for all DHBs

45 nationwide over the same

40 period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0









-0



-0







0

0









-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

Ju









Ju



Se

D









Quarter

Nelson Marlborough all DHBs









86 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115

Figure NM.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the Nelson Marlborough

85 DHB hospital casemix.

Results are presented as a









09

Se 7









Se 8









D 9

9

D 7



M 7

8









D 8



M 8

9

M 6

7









0



-0

0



-0









0



-0



-0

-0



-0









-0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar

four quarter rolling average.









Ju

Ju









Ju









Se

D









Quarter









Day of Surgery Admission (Process and Efficiency)



100

Figure NM.11: DOSA rate

90 against time for Nelson

Marlborough DHB hospitals

DOSA rate (%)









80

over the last three years.

70 Also shown is the DOSA rate

60 for all DHBs nationwide over

the same period. Results

50

are presented as a four

40 quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0









-0



-0







0

0









-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

Ju









Ju

D









Quarter

Nelson Marlborough all DHBs









150

Standardised DOSA rate (%)









Figure NM.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Nelson Marlborough

DHB hospital casemix.

50 Results are presented as a

four quarter rolling average.

09

Se 7









Se 8









D 9

9

D 7



M 7

8









D 8



M 8

9

M 6

7









0



-0

0



-0









-0

-0









-0







0



-0

-0







0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar









Ju

Ju









Ju









Se

D









Quarter









DHB Hospital Benchmark Information: December 2009 87

Did Not Attends (Process and Efficiency)

16

Figure NM.13: DNA rate

14 against time for Nelson

Did not attends (%)









Marlborough DHB hospitals

12

over the last three years.

10 Also shown is the DNA rate

8 for all DHBs nationwide over

the same period.

6



4

Se 7









09

Se 8



D 8



M 8









9

M 6



Ju 7







D 7



M 7

8









9









D 9

-0









0



-0









0



-0

-0



-0







0







-0









-0

0









0

p-









p-









p-

n-









n-









n-

ec

ec









ec

ec









ar









ar

ar









Ju









Ju



Se

D









Quarter

Nelson Marlborough all DHBs







Staff Turnover (Organisational Health)

5

Figure NM.14: Staff turnover

against time for Nelson

a

Staff turnover (%)









4 Marlborough DHB hospitals

over the last three years.

3 Also shown is the staff

turnover rate for all DHBs

2 nationwide over the same

period. Results are

1 presented as a four quarter

rolling average.

Se 7









09

Se 8







M 8

M 6



Ju 7







D 7



M 7

8









D 8







9









D 9

9

-0

-0



-0







0



-0









0

-0









-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec



ar









ar

ar









Ju









Ju



Se

D









Quarter

Nelson Marlborough all DHBs









Sick Leave (Organisational Health)

4.5

Figure NM.15: Sick leave

4 against time for Nelson

Marlborough DHB hospitals

Sick leave (%)









3.5

over the last three years.

3 Also shown is the sick leave

2.5 rate for all DHBs nationwide

over the same period.

2



1.5

Se 8









Se 9

Se 7

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0









-0



-0







0



-0

-0



-0







0



-0









0

0









0

0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Nelson Marlborough all DHBs







88 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure NM.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for Nelson Marlborough

15 DHB hospitals over the last

three years. Also shown is

10

the rate of workplace

5 illnesses or injuries for all

DHBs nationwide over the

0 same period. Results are

presented as a four quarter

Se 7









Se 9

Se 8



D 8



M 8

M 6



Ju 7







D 7



M 7

8









9









D 9

9

0



-0









-0

-0



-0







0



-0



-0









-0







0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec









rolling average.

ar









ar

ar









Ju









Ju

D









Quarter

Nelson Marlborough all DHBs









Nelson Marlborough DHB Hospitals: Patient Satisfaction

100





95 92.7

92.4 92.1

Patient satisfaction (%)









90.1 90.5

89.6 89.2

90 87.4

86.5 86.9 86.2 86.2 86.6

85.8 85.5

85





80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure NM.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Nelson Marlborough DHB hospitals. Total results are broken

down into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









DHB Hospital Benchmark Information: December 2009 89

Northland DHB Hospitals: Summary Information

Table 15: Summary of Northland DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 76.9 68.5 80.0 9(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 57.5 47.6 75.0 8(20) ▼

minutes

Acute Readmission Rate readmissions per 1,000 discharges 64.2 62.2 14(21) ■

Patient Satisfaction**, ***

Overall % score for overall satisfaction 89.2 88.6 10(20) ■

Respect aggregated % score for Respect 87.7 86.8 9(20) ■

dimension

Information aggregated % score for Information 82.6 82.1 9(20) ■

dimension

Coordination aggregated % score for Co-ordination 86.2 84.3 6(20) ■

dimension

Physical aggregated % score for Physical 83.7 83.8 12(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.18 0.13 17(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 3.76 4.33 5(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 91.7 4(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 62.8 54.3 2(21) ■

Standardised Rate day surgery as % of expected day 104.8 7(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 89.8 80.0 8(21) ▲

Standardised Rate DOSA as % of expected DOSA (casemix 105.2 8(21) ▲

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 11.29 8.65 21(21) ▲

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 3.12 2.25 21(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 3.18 2.67 19(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 9.10 7.76 14(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 28.4 44.3 ▼

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 2.50 1.51 2(21) ■

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.16 1.50 ■

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 194.3 181.6 12(21) ■

Nursing for nursing personnel 71.0 72.5 4(21) ■

Allied Health for allied health professional staff 64.1 65.1 7(21) ■

Support for support staff 43.6 44.2 8(21) ■

Management and Administration for managers and administrators 58.3 60.7 15(21) ■

Total for total provider arm workforce 77.6 81.5 5(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









90 DHB Hospital Benchmark Information: December 2009

Northland DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure No.1: Triage 1 rate

95

against time for Northland

Triage 1 rate (%)









DHB hospitals over the last

90 three years. Also shown is

the triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 9

Se 8



D 8



M 8

M 6



Ju 7







D 7



M 7

8









9









D 9

9

0



-0









-0

-0



-0







0



-0



-0









-0







0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec



ar









ar

ar









professional immediately.

Ju









Ju

D









Quarter

Northland all DHBs









100

Figure No.2: Triage 2 rate

90 against time for Northland

Triage 2 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60

the triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 9

Se 8



D 8



M 8

M 6



Ju 7







D 7



M 7

8









9









D 9

9

-0

-0



-0







0



-0









0

-0









-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec

ec









ec

ec









ar









ar









professional within 10

ar









Ju









Ju

D









Quarter minutes.

Northland all DHBs









100

Figure No.3: Triage 3 rate

90

against time for Northland

Triage 3 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60 the triage 3 rate for all DHBs

50 nationwide over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 9

Se 8







M 8

M 7

8









D 8







9









D 9

9

M 6



Ju 7







D 7









0



-0









-0

-0



-0







0



-0



-0









-0







0

0









0









0

p-









p-









p-

n-









n-









n-

ec

ec









ec

ec









ar









ar

ar









professional within 30

Ju









Ju

D









Quarter minutes.

Northland all DHBs







DHB Hospital Benchmark Information: December 2009 91

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure No.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for Northland DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Northland all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure No.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Northland DHB hospitals

88 over the last three years.

86

Data was not supplied for the

December 2006 quarter.

84

Also shown is overall patient

82 satisfaction for all DHBs

80 nationwide over the same

period. (Detailed results for

Se 8









Se 9

Se 7

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec









patient satisfaction in the

ar









ar









ar

Ju









Ju

D









Quarter latest quarter are presented

Northland all DHBs

in Figure No.17.)







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure No.6: HABSI rate

against time for Northland

0.4 DHB hospitals, for seven

HABSI rate (‰)









quarters since introduction

0.3

of the amended HABSI

0.2

measure. Also shown is the

HABSI rate for all DHBs

0.1 nationwide since the March

2008 quarter, by which time

0

most DHBs had collected

four quarters of data.

Se 7









Se 8









Se 9

M 6



Ju 7









M 7



Ju 8







D 8

D 7









M 8



Ju 9







D 9

9

-0



-0









-0



-0







0

0









-0



-0







0



-0

0









0









0

p-

p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









Results are presented as a

D









Quarter four quarter rolling average.

Northland all DHBs





92 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure No.7: ALOS against

time for Northland DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 9

Se 8



D 8



M 8

M 6



Ju 7







D 7



M 7

8









9









D 9

9

0



-0









-0

-0



-0







0



-0



-0









-0







0

0









0









0

p-









p-









p-

n-









n-









n-

ec

ec









ec









ec

ar









ar

ar









Ju









Ju

D









Quarter

Northland all DHBs









115 Figure No.8: Standardised

ALOS, that is, the actual

ALOS expressed as a

ALOS rate (%)









percentage of the expected

100

ALOS, weighted to take

account of the Northland

DHB hospital casemix.

Results are presented as a

four quarter rolling average.

85

Se 8









09

Se 7









D 8







9









D 9

9

D 7



M 7

8









M 8

M 6

7









0



-0









0



-0

-0









-0

-0







0



-0

-0









0

0









p-









p-

p-









n-









n-

n-









ec









ec

ec

ec









ar

ar

ar









Ju









Ju

Ju









Se

D









Quarter







Day Surgery Rate (Process and Efficiency)



75 Figure No.9: Day surgery

70 rate against time for

Day surgery rate (%)









65 Northland DHB hospitals

60 over the last three years.

55 Also shown is the day

50 surgery rate for all DHBs

45 nationwide over the same

40 period. Results are

35 presented as a four quarter

rolling average.

Se 9

Se 7









Se 8







M 8

M 7

8









D 8







9









D 9

9

M 6



Ju 7







D 7









0



-0

-0



-0









-0







0



-0

-0



-0







0









0

0









0

p-









p-









p-

n-









n-

n-









ec









ec

ec









ec



ar









ar

ar









Ju









Ju

D









Quarter

Northland all DHBs









DHB Hospital Benchmark Information: December 2009 93

Standardised day surgery rate (%) 115

Figure No.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the Northland DHB hospital

85 casemix. Results are

presented as a four quarter









Se 9

Se 8

07









9









D 9

9

D 8



M 8

M 6

7









D 7



M 7

8







0



-0



-0







0



-0

-0



-0







0



-0



-0









0

0









p-

p-

p-









n-

n-

n-









ec

ec

ec









ec









ar

ar









ar





rolling average.









Ju

Ju









Ju

Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)





100

Figure No.11: DOSA rate

90 against time for Northland

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









09

Se 8







M 8

M 6



Ju 7







D 7



M 7

8









D 8







9









D 9

9

0



-0









-0

-0



-0







0



-0



-0









-0







0

0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec



ar









ar

ar









Ju









Ju



Se

D









Quarter

Northland all DHBs









150

Standardised DOSA rate (%)









Figure No.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Northland DHB hospital

casemix. Results are

50 presented as a four quarter

rolling average.

Se 9

07









Se 8









D 9

9

9

8









D 8



M 8

D 7

M 6

7









M 7









0



-0

0









-0



-0

-0

-0



-0









-0







0









0

0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar









Ju

Ju

Ju



Se

D









Quarter









94 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16

Figure No.13: DNA rate

14 against time for Northland

Did not attends (%)







12 DHB hospitals over the last

10 three years. Also shown is

8

the DNA rate for all DHBs

nationwide over the same

6

period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Northland all DHBs







Staff Turnover (Organisational Health)

5

Figure No.14: Staff turnover

against time for Northland

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 9

Se 8







M 8

M 6



Ju 7







D 7



M 7

8









D 8







9









D 9

9

-0

-0



-0







0



-0









0









-0

-0









-0







0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec



ar









ar

ar









Ju









Ju

D









Quarter

Northland all DHBs







Sick Leave (Organisational Health)

4.5

Figure No.15: Sick leave

4 against time for Northland

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

08









Se 9

Se 7

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0









-0



-0







0



-0

-0



-0







0



-0









0









0

0

p-









p-









p-

n-









n-









n-







ec

ec









ec

ec



ar









ar









ar

Ju









Ju

Se

D









Quarter

Northland all DHBs









DHB Hospital Benchmark Information: December 2009 95

Workplace Illnesses or Injuries (Organisational Health)



25

Figure No.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for Northland DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.

ar









ar









ar

Ju









Ju



Se

D









Quarter

Northland all DHBs









Northland DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









89.2 89.1 89.2 88.9

90 87.7

86.9 86.2 86.9 86.3

85.4

85 83.5 83.7

82.6 82.9

80.7

80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure No.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Northland DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









96 DHB Hospital Benchmark Information: December 2009

Otago DHB Hospitals: Summary Information

Table 16: Summary of Otago DHB results against all HBI performance measures. Trend indicators: ▲

= up over four quarters, ▼ = down over four quarters, ■ = less than five percent change over four

quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings suggest

poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 59.8 68.5 80.0 17(20) ▲

minutes

Triage 3 % triage 3 patients seen within 30 36.9 47.6 75.0 18(20) ▲

minutes

Acute Readmission Rate readmissions per 1,000 discharges 48.2 62.2 1(21) ▼

Patient Satisfaction**

Overall % score for overall satisfaction 89.2 88.6 9(20) ■

Respect aggregated % score for Respect 87.8 86.8 8(20) ■

dimension

Information aggregated % score for Information 82.3 82.1 10(20) ■

dimension

Coordination aggregated % score for Co-ordination 84.4 84.3 13(20) ■

dimension

Physical aggregated % score for Physical 82.9 83.8 13(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.21 0.13 19(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.92 4.33 21(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 98.5 10(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 45.8 54.3 21(21) ■

Standardised Rate day surgery as % of expected day 97.5 17(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 82.7 80.0 13(21) ▲

Standardised Rate DOSA as % of expected DOSA (casemix 108.9 7(21) ▲

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 8.65

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 1.83 2.25 3(21) ▼

headcount

Sick Leave† sick leave hours as % of accrued FTE 3.33 2.67 20(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 17.33 7.76 20(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 46.2 44.3 ■

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.90 1.51 6(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 0.80 1.50 ▼

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 193.4 181.6 11(21) ■

Nursing for nursing personnel 72.9 72.5 9(21) ▲

Allied Health for allied health professional staff 66.7 65.1 15(21) ■

Support for support staff 43.8 44.2 9(21) ■

Management and Administration for managers and administrators 55.5 60.7 7(21) ■

Total for total provider arm workforce 82.6 81.5 17(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.

† Otago DHB sick leave is based on contracted employee hours rather than accrued FTE hours.









DHB Hospital Benchmark Information: December 2009 97

Otago DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure O.1: Triage 1 rate

95

against time for Otago DHB

Triage 1 rate (%)









hospitals over the last three

90 years. Also shown is the

triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju



Se

D









Quarter

Otago all DHBs









100

Figure O.2: Triage 2 rate

90 against time for Otago DHB

Triage 2 rate (%)









80 hospitals over the last three

70 years. Also shown is the

60

triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









professional within 10

ar









ar









ar

Ju









Ju



Se

D









Quarter minutes.

Otago all DHBs









100

Figure O.3: Triage 3 rate

90

against time for Otago DHB

Triage 3 rate (%)









80 hospitals over the last three

70 years. Also shown is the

60 triage 3 rate for all DHBs

50 nationwide over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 30

Ju









Ju



Se

D









Quarter minutes.

Otago all DHBs







98 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure O.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for Otago DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Otago all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure O.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Otago DHB hospitals over

88 the last three years. Also

86

shown is overall patient

satisfaction for all DHBs

84

nationwide over the same

82

period. Otago DHB did not

80 provide data for the June

2008 quarter. (Detailed

08









Se 9

Se 7









D 8







9









D 9

8









M 8









9

M 6



Ju 7







D 7



M 7

-0







0



-0



-0







0



-0



-0







0



-0

-0









0

0









p-

p-









p-









n-

n-









n-







ec









ec

ec









ec

ar









ar









ar









results for patient satisfaction

Ju









Ju

Se

D









Quarter are presented in Figure

Otago all DHBs O.17.)







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure O.6: HABSI rate

against time for Otago DHB

0.4 hospitals, for eight quarters

HABSI rate (‰)









since introduction of the

0.3

amended HABSI measure.

0.2

Also shown is the HABSI

rate for all DHBs nationwide

0.1 since the March 2008

quarter, by which time most

0

DHBs had collected four

quarters of data. Results are

Se 7









Se 8









Se 9

M 6



Ju 7









M 7



Ju 8







D 8

D 7









M 8



Ju 9







D 9

9

-0



-0









-0



-0







0

0









-0



-0







0



-0

0









0









0

p-

p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









presented as a four quarter

D









Quarter rolling average.

Otago all DHBs





DHB Hospital Benchmark Information: December 2009 99

Average Length of Stay (Process and Efficiency)

5.5

Figure O.7: ALOS against

time for Otago DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Otago all DHBs









115 Figure O.8: Standardised

ALOS, that is, the actual

ALOS expressed as a

ALOS rate (%)









percentage of the expected

100 ALOS, weighted to take

account of the Otago DHB

hospital casemix. Results

are presented as a four

85 quarter rolling average.

07









Se 8









Se 9

M 8

9









D 9

9

D 7







8









D 8

M 6

7









M 7









0



-0

0



-0



-0







0



-0



-0

-0



-0









0









0

p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar









ar

ar









Ju









Ju

Ju



Se

D









Quarter









Day Surgery Rate (Process and Efficiency)



75

Figure O.9: Day surgery

70 rate against time for Otago

Day surgery rate (%)









65 DHB hospitals over the last

60 three years. Also shown is

55 the day surgery rate for all

50 DHBs nationwide over the

45 same period. Results are

40 presented as a four quarter

35 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Otago all DHBs







100 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115 Figure O.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100 of the expected result for

day surgery, weighted to

take account of the Otago

DHB hospital casemix.

Results are presented as a

85

four quarter rolling average.









09

Se 7









Se 8









D 9

9

M 8

9

D 7









D 8

7









M 7

8

M 6









0



-0

-0



-0

0



-0

-0



-0









-0







0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar









Ju

Ju

Ju









Se

D









Quarter



Day of Surgery Admission Rate (Process and Efficiency)



100

Figure O.11: DOSA rate

90 against time for Otago DHB

hospitals over the last three

DOSA rate (%)









80

years. Also shown is the

70 DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Otago all DHBs









150

Figure O.12: Standardised

Standardised DOSA rate (%)









DOSA rate, that is, actual

125 DOSA rate expressed as a

percentage of the expected

100 DOSA rate, weighted to take

account of the Otago DHB

75 hospital casemix. Results

are presented as a four

50 quarter rolling average.

09

Se 7









Se 8









D 9

9

8









D 8



M 8

9

D 7

M 6

7









M 7









0



-0

-0



-0

0



-0

-0



-0









-0







0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar









Ju

Ju

Ju









Se

D









Quarter









DHB Hospital Benchmark Information: December 2009 101

Did Not Attends (Process and Efficiency)



16



14

Figure O.13: DNA rate

Did not attends (%)









against time for Otago DHB

12

hospitals over the last three

10

years. Also shown is the

8 DNA rate for all DHBs

6 nationwide over the same

4 period. Otago DHB did not

2

provide data for the

September 2009 quarter.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Otago all DHBs









Staff Turnover (Organisational Health)

5

Figure O.14: Staff turnover

against time for Otago DHB

a

Staff turnover (%)









4 hospitals over the last three

years. Also shown is the

3 staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Otago all DHBs







Sick Leave (Organisational Health)

4.5

Figure O.15: Sick leave

4

against time for Otago DHB

3.5

hospitals over the last three

Sick leave (%)









3

2.5

years. Also shown is the

2 sick leave rate for all DHBs

1.5 nationwide over the same

1 period. Otago DHB results

0.5 have been estimated using

0 contracted FTE hours

information.

Se 8









Se 9

Se 7

Ju 7







D 7







8









D 8



M 8

9









D 9

9

M 6









M 7

-0







0



-0



-0







0



-0

-0



-0







0



-0







0









0

0









p-









p-

p-

n-









n-









n-

ec









ec









ec

ec



ar









ar









ar

Ju









Ju

D









Quarter

Otago all DHBs



102 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure O.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for Otago DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.

ar









ar









ar

Ju









Ju

D









Quarter

Otago all DHBs









Otago DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









89.2 89.6

90 88.6 88.0

87.8 87.6



84.4 84.9

83.5 84.1

85 82.9 83.0 82.7

82.3

80.5

80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure O.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Otago DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









DHB Hospital Benchmark Information: December 2009 103

South Canterbury DHB Hospitals: Summary Information

Table 17: Summary of South Canterbury DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 83.1 68.5 80.0 6(20) ▲

minutes

Triage 3 % triage 3 patients seen within 30 79.8 47.6 75.0 5(20) ▲

minutes

Acute Readmission Rate readmissions per 1,000 discharges 61.8 62.2 10(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 93.3 88.6 1(20) ■

Respect aggregated % score for Respect 89.9 86.8 1(20) ■

dimension

Information aggregated % score for Information 85.8 82.1 2(20) ■

dimension

Coordination aggregated % score for Co-ordination 89.1 84.3 1(20) ■

dimension

Physical aggregated % score for Physical 89.3 83.8 1(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.03 0.13 4(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.39 4.33 15(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 103.0 17(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 59.3 54.3 8(21) ■

Standardised Rate day surgery as % of expected day 110.4 3(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 97.9 80.0 2(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 112.9 2(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 3.25 8.65 2(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 1.97 2.25 6(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.52 2.67 9(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 11.94 7.76 18(21) ■

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 30.8 44.3 ■

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 2.71 1.51 1(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.52 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 306.3 181.6 21(21) ▲

Nursing for nursing personnel 72.6 72.5 8(21) ▲

Allied Health for allied health professional staff 67.1 65.1 16(21) ▲

Support for support staff 41.5 44.2 5(21) ■

Management and Administration for managers and administrators 62.7 60.7 18(21) ■

Total for total provider arm workforce 82.3 81.5 16(21) ▲

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









104 DHB Hospital Benchmark Information: December 2009

South Canterbury DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure SC.1: Triage 1 rate

95

against time for South

Triage 1 rate (%)









Canterbury DHB hospitals

90 over the last three years.

Also shown is the triage 1

85

rate for all DHBs nationwide

80 over the same period. The

ACEM recommendation is

75 that 100 percent of triage 1

patients should be seen by a

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



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0

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n-

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ec









ec









ec

ar









ar









ar

health professional

Ju









Ju

D









Quarter immediately.

South Canterbury all DHBs









100

Figure SC.2: Triage 2 rate

90 against time for South

Triage 2 rate (%)









80 Canterbury DHB hospitals

70 over the last three years.

60

Also shown is the triage 2

rate for all DHBs nationwide

50

over the same period. The

40

ACEM recommendation is

30 that 80 percent of triage 2

patients should be seen by a

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

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p-

n-









n-









n-

ec









ec









ec









ec









health professional within 10

ar









ar









ar

Ju









Ju

D









Quarter minutes.

South Canterbury all DHBs









100

Figure SC.3: Triage 3 rate

90

against time for South

Triage 3 rate (%)









80 Canterbury DHB hospitals

70 over the last three years.

60 Also shown is the triage 3

50 rate for all DHBs nationwide

40 over the same period. The

30 ACEM recommendation is

20 that 75 percent of triage 3

patients should be seen by a

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









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ar









ar









ar









health professional within 30

Ju









Ju

D









Quarter minutes.

South Canterbury all DHBs





DHB Hospital Benchmark Information: December 2009 105

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure SC.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for South Canterbury

60 DHB hospitals over the last

55 three years. Also shown is

50 the acute readmission rate

45 for all DHBs nationwide over

40 the same period. Results

35 are presented as a four

quarter rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

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ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

South Canterbury all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure SC.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 South Canterbury DHB

88 hospitals over the last three

86

years. Also shown is overall

patient satisfaction for all

84

DHBs nationwide over the

82

same period. (Detailed

80 results for patient

satisfaction in the latest

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









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ar









ar









ar









quarter are presented in

Ju









Ju



Se

D









Quarter Figure SC.17.)

South Canterbury all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure SC.6: HABSI rate

against time for South

0.4 Canterbury DHB hospitals,

HABSI rate (‰)









for nine quarters since

0.3

introduction of the amended

0.2

HABSI measure. Also

shown is the HABSI rate for

0.1 all DHBs nationwide since

the March 2008 quarter, by

0

which time most DHBs had

collected four quarters of

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7



Ju 8







D 8



M 8



Ju 9







D 9

9

-0



-0









0

0



-0



-0









-0



-0







0



-0

0









0









0

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ar









ar









ar









data. Results are presented

D









Quarter as a four quarter rolling

South Canterbury all DHBs average.





106 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure SC.7: ALOS against

time for South Canterbury

5 DHB hospitals over the last

ALOS (days)









three years. Also shown is

4.5 the ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









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p-

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n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

South Canterbury all DHBs









115

Figure SC.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

percentage of the expected

100

ALOS, weighted to take

account of the South

Canterbury DHB hospital

casemix. Results are

85 presented as a four quarter

rolling average.

08









Se 9

Se 7









D 9

9

7









D 7



M 7









D 8



M 8

9

8

M 6









0



-0

0



-0



-0







0



-0



-0

-0



-0









0

0









p-

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n-

n-









ec

ec









ec

ec









ar

ar









ar

Ju









Ju

Ju









Se

D









Quarter









Day Surgery Rate (Process and Efficiency)



75

70

Figure SC.9: Day surgery

Day surgery rate (%)









rate against time for South

65

Canterbury DHB hospitals

60

over the last three years.

55

Also shown is the day

50

surgery rate for all DHBs

45

nationwide over the same

40

period. Results are

35

presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

South Canterbury all DHBs









DHB Hospital Benchmark Information: December 2009 107

Standardised day surgery rate (%) 115

Figure SC.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage of

100

the expected result for day

surgery, weighted to take

account of the South

Canterbury DHB hospital

85 casemix. Results are

presented as a four quarter









Se 9

Se 8

Se 7









D 9

9

D 7







8









D 8



M 8

M 7









9

M 6

7









0



-0

0



-0









0



-0



-0

-0



-0









-0









0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar







rolling average.







Ju

Ju









Ju

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure SC.11: DOSA rate

90 against time for South

Canterbury DHB hospitals

DOSA rate (%)









80

over the last three years.

70 Also shown is the DOSA rate

60 for all DHBs nationwide over

the same period. Results

50

are presented as a four

40 quarter rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

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ar









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ar

Ju









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Se

D









Quarter

South Canterbury all DHBs









150

Standardised DOSA rate (%)









Figure SC.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the South Canterbury DHB

hospital casemix. Results

50 are presented as a four

quarter rolling average.

07









Se 9

Se 8









D 9

9

M 6









D 7

7









M 7

8









D 8



M 8

9







0



-0

-0



-0







0



-0









-0

-0







0



-0







0

0

p-









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n-









ec

ec









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ec

ar









ar

ar

Ju









Ju

Ju

Se

D









Quarter









108 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16

Figure SC.13: DNA rate

14 against time for South

Did not attends (%)







12 Canterbury DHB hospitals

10 over the last three years.

8

Also shown is the DNA rate

for all DHBs nationwide over

6

the same period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

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n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

South Canterbury all DHBs







Staff Turnover (Organisational Health)

5

Figure SC.14: Staff turnover

against time for South

a

Staff turnover (%)









4 Canterbury DHB hospitals

over the last three years.

3 Also shown is the staff

turnover rate for all DHBs

2 nationwide over the same

period. Results are

1 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









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n-

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ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

South Canterbury all DHBs









Sick Leave (Organisational Health)

4.5

Figure SC.15: Sick leave

4 against time for South

Canterbury DHB hospitals

Sick leave (%)









3.5

over the last three years.

3 Also shown is the sick leave

2.5 rate for all DHBs nationwide

over the same period.

2



1.5

08









Se 9

Se 7









D 9

Ju 7







D 7



M 7

8









D 8



M 8

9









9

M 6









0



-0



-0







0



-0

-0



-0







0



-0



-0









0

0









p-









p-

p-









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n-









ec









ec

ec









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter

South Canterbury all DHBs







DHB Hospital Benchmark Information: December 2009 109

Workplace Illnesses or Injuries (Organisational Health)



25

Figure SC.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for South Canterbury

15 DHB hospitals over the last

three years. Also shown is

10

the rate of workplace

5 illnesses or injuries for all

DHBs nationwide over the

0 same period. Results are

presented as a four quarter

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.

ar









ar









ar

Ju









Ju



Se

D









Quarter

South Canterbury all DHBs









South Canterbury DHB Hospitals: Patient Satisfaction

100





95 93.3 93.8

92.8

Patient satisfaction (%)









90.3 91.0

89.9 89.6 89.1 89.3 89.3

88.9 88.8

90

87.2

85.8 85.0

85





80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure SC.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for South Canterbury DHB hospitals. Total results are broken

down into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









110 DHB Hospital Benchmark Information: December 2009

Southland DHB Hospitals: Summary Information

Table 18: Summary of Southland DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 49.2 68.5 80.0 20(20) ▲

minutes

Triage 3 % triage 3 patients seen within 30 45.7 47.6 75.0 11(20) ▼

minutes

Acute Readmission Rate readmissions per 1,000 discharges 56.0 62.2 5(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 86.9 88.6 16(20) ■

Respect aggregated % score for Respect 87.1 86.8 11(20) ■

dimension

Information aggregated % score for Information 82.3 82.1 11(20) ■

dimension

Coordination aggregated % score for Co-ordination 85.3 84.3 9(20) ■

dimension

Physical aggregated % score for Physical 82.7 83.8 14(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.14 0.13 15(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.39 4.33 14(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 100.2 14(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 62.6 54.3 3(21) ▲

Standardised Rate day surgery as % of expected day 110.9 2(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 70.7 80.0 18(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 81.6 19(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 9.28 8.65 13(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.06 2.25 8(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.88 2.67 14(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 5.38 7.76 6(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 68.3 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.32 1.51 17(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 0.75 1.50 ■

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 211.7 181.6 15(21) ▼

Nursing for nursing personnel 74.5 72.5 17(21) ▲

Allied Health for allied health professional staff 65.7 65.1 13(21) ■

Support for support staff 56.0 44.2 21(21) ▲

Management and Administration for managers and administrators 56.8 60.7 10(21) ■

Total for total provider arm workforce 83.7 81.5 19(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









DHB Hospital Benchmark Information: December 2009 111

Southland DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure Sl.1: Triage 1 rate

95

against time for Southland

Triage 1 rate (%)









DHB hospitals over the last

90 three years. Also shown is

the triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









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n-

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ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju



Se

D









Quarter

Southland all DHBs









100

Figure Sl.2: Triage 2 rate

90 against time for Southland

Triage 2 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60

the triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









professional within 10

ar









ar









ar

Ju









Ju



Se

D









Quarter minutes.

Southland all DHBs









100

Figure Sl.3: Triage 3 rate

90

against time for Southland

Triage 3 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60 the triage 3 rate for all DHBs

50 nationwide over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 30

Ju









Ju



Se

D









Quarter minutes.

Southland all DHBs







112 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure Sl.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for Southland DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

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n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Southland all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure Sl.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Southland DHB hospitals

88 over the last three years.

86

Data was not supplied for the

December 2006 quarter.

84

Also shown is overall patient

82

satisfaction for all DHBs

80 nationwide over the same

period. (Detailed results for

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



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0



-0



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0



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ec









ec









patient satisfaction in the

ar









ar









ar

Ju









Ju

Se

D









Quarter latest quarter are presented

Southland all DHBs

in Figure Sl.17.)





Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure Sl.6: HABSI rate

0.4 against time for Southland

HABSI rate (‰)









DHB hospitals, for eight

0.3

quarters since introduction of

0.2

the amended HABSI

measure. Also shown is the

0.1 HABSI rate for all DHBs

nationwide since the March

0

2008 quarter, by which time

most DHBs had collected

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









four quarters of data.

D









Quarter Results are presented as a

Southland all DHBs four quarter rolling average.





DHB Hospital Benchmark Information: December 2009 113

Average Length of Stay (Process and Efficiency)

5.5

Figure Sl.7: ALOS against

time for Southland DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Southland all DHBs









115 Figure So.8: Standardised

ALOS, that is, the actual

Standardised ALOS (%)









ALOS expressed as a

percentage of the expected

100 ALOS, weighted to take

account of the Southland DHB

hospital casemix. Results are

presented as a four quarter

85

rolling average.

Se 9

Se 7









Se 8









D 9

9

D 7



M 7

8









D 8



M 8

9

M 6

7









0



-0

0



-0



-0







0



-0



-0

-0



-0









0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar









ar

ar









Ju









Ju

Ju

D









Quarter









Day Surgery Rate (Process and Efficiency)



75

Figure Sl.9: Day surgery

70

rate against time for

Day surgery rate (%)









65

Southland DHB hospitals

60

over the last three years.

55

Also shown is the day

50

surgery rate for all DHBs

45

nationwide over the same

40

period. Results are

35

presented as a four quarter

rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Southland all DHBs









114 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115

Figure Sl.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100

of the expected result for

day surgery, weighted to

take account of the

Southland DHB hospital

85 casemix. Results are

presented as a four quarter









09

Se 7









Se 8



D 8



M 8

9









D 9

9

M 6

7









D 7



M 7

8









0



-0

-0









-0



-0

-0







0









0

-0



-0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar

rolling average.









Ju

Ju









Ju









Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure Sl.11: DOSA rate

90 against time for Southland

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Southland all DHBs









150 Figure Sl.12: Standardised

Standardised DOSA rate (%)









DOSA rate, that is, actual

125 DOSA rate expressed as a

percentage of the expected

100 DOSA rate, weighted to take

account of the Southland

75 DHB hospital casemix.

Results are presented as a

50 four quarter rolling average.

09

Se 7









Se 8









D 9

9

9

7









D 7



M 7

8









D 8



M 8

M 6









0



-0

-0



-0







0



-0



-0

0

-0



-0



0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar

ar









Ju

Ju









Ju









Se

D









Quarter









DHB Hospital Benchmark Information: December 2009 115

Did Not Attends (Process and Efficiency)

16

Figure Sl.13: DNA rate

14 against time for Southland

Did not attends (%)









12 DHB hospitals over the last

10 three years. Also shown is

8

the DNA rate for all DHBs

nationwide over the same

6

period.

4



2

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Southland all DHBs







Staff Turnover (Organisational Health)

5 Figure Sl.14: Staff turnover

against time for Southland

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Southland all DHBs







Sick Leave (Organisational Health)

4.5

Figure Sl.15: Sick leave

4 against time for Southland

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Southland all DHBs









116 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure Sl.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for Southland DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

rolling average.

Ju









Ju

D









Quarter

Southland all DHBs









Southland DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90 88.2

86.9 87.1 86.7 87.1 86.4 86.7

85.3 85.1 85.6

85 82.5 82.7

82.3 82.2 81.5



80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure Sl.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Southland DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









DHB Hospital Benchmark Information: December 2009 117

Tairawhiti DHB Hospital: Summary Information

Table 19: Summary of Tairawhiti DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates***

Triage 1* % triage 1 patients seen immediately 99.9

Triage 2 % triage 2 patients seen within 10 68.5

minutes

Triage 3 % triage 3 patients seen within 30 47.6

minutes

Acute Readmission Rate readmissions per 1,000 discharges 61.6 62.2 9(21) ▲

Patient Satisfaction**

Overall % score for overall satisfaction 91.1 88.6 4(20) ■

Respect aggregated % score for Respect 89.2 86.8 5(20) ■

dimension

Information aggregated % score for Information 85.6 82.1 3(20) ■

dimension

Coordination aggregated % score for Co-ordination 87.1 84.3 3(20) ■

dimension

Physical aggregated % score for Physical 85.6 83.8 7(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.0 0.1 4(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 3.87 4.33 8(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 100.4 15(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 50.2 54.3 18(21) ▲

Standardised Rate day surgery as % of expected day 90.6 20(21) ▲

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 77.5 80.0 15(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 88.1 18(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 10.84 8.65 20(21) ▲

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.48 2.25 16(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 1.95 2.67 2(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 8.47 7.76 13(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 37.0 44.3 ▼

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.62 1.51 11(21) ■

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 0.30 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 255.7 181.6 19(21) ▲

Nursing for nursing personnel 73.8 72.5 13(21) ■

Allied Health for allied health professional staff 63.7 65.1 6(21) ■

Support for support staff 48.1 44.2 18(21) ■

Management and Administration for managers and administrators 55.0 60.7 6(21) ■

Total for total provider arm workforce 86.3 81.5 20(21) ▲

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.

*** Tairaw hiti DHB did not supply data for this quarter.









118 DHB Hospital Benchmark Information: December 2009

Tairawhiti DHB Hospital: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure Tw.1: Triage 1 rate

95

against time for the

Triage 1 rate (%)









Tairawhiti DHB hospital over

90 the last three years. Also

shown is the triage 1 rate for

85

all DHBs nationwide over the

80 same period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju

D









Quarter Tairawhiti DHB was unable

Tairaw hiti all DHBs to supply accurate data for

this quarter.



Figure Tw.2: Triage 2 rate

100

against time for the

90 Tairawhiti DHB hospital over

Triage 2 rate (%)









80 the last three years. Also

70 shown is the triage 2 rate for

60

all DHBs nationwide over the

same period. The ACEM

50

recommendation is that 80

40

percent of triage 2 patients

30 should be seen by a health

professional within 10

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









minutes. Tairawhiti DHB

ar









ar









ar

Ju









Ju

D









Quarter was unable to supply


Tairaw hiti all DHBs accurate data for this


quarter.



Figure Tw.3: Triage 3 rate

100

against time for the

90

Tairawhiti DHB hospital over

Triage 3 rate (%)









80 the last three years. Also

70 shown is the triage 3 rate for

60 all DHBs nationwide over the

50 same period. The ACEM

40 recommendation is that 75

30 percent of triage 3 patients

20 should be seen by a health

professional within 30

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









minutes. Tairawhiti DHB

Ju









Ju

D









Quarter was unable to supply

Tairaw hiti all DHBs accurate data for this

quarter.





DHB Hospital Benchmark Information: December 2009 119

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure Tw.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for the Tairawhiti DHB

60 hospital over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Tairaw hiti all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure Tw.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 the Tairawhiti DHB hospital

88 over the last three years.

86

Also shown is overall patient

satisfaction for all DHBs

84

nationwide over the same

82 period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









in Figure Tw.17.)

ar









ar









ar

Ju









Ju

D









Quarter

Tairaw hiti all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5 Figure Tw.6: HABSI rate

against time for the

0.4 Tairawhiti DHB hospital, for

HABSI rate (‰)









seven quarters since

0.3

introduction of the amended

0.2

HABSI measure. Also

shown is the HABSI rate for

0.1 all DHBs nationwide since

the March 2008 quarter, by

0

which time most DHBs had

collected four quarters of

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









data. Results are presented

D









Quarter as a four quarter rolling

Tairaw hiti all DHBs average.





120 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure Tw.7: ALOS against

time for the Tairawhiti DHB

5 hospital over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Tairaw hiti all DHBs









115 Figure Tw.8: Standardised

ALOS, that is, the actual

Standardised ALOS (%)









ALOS expressed as a

percentage of the expected

100

ALOS, weighted to take

account of the Tairawhiti DHB

hospital casemix. Results are

presented as a four quarter

rolling average.

85

Se 9

Se 7









Se 8









D 9

9

D 7



M 7

8









D 8



M 8

9

M 6

7









0



-0

-0







0



-0



-0







0



-0



-0

-0









0









0

0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar









ar

ar









Ju









Ju

Ju

D









Quarter







Day Surgery Rate (Process and Efficiency)



75

Figure Tw.9: Day surgery

70

rate against time for the

Day surgery rate (%)









65 Tairawhiti DHB hospital over

60

the last three years. Also

55 shown is the day surgery

50 rate for all DHBs nationwide

45 over the same period.

40 Results are presented as a

35 four quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Tairaw hiti all DHBs









DHB Hospital Benchmark Information: December 2009 121

Standardised day surgery rate (%) 120

Figure Tw.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the Tairawhiti DHB hospital

80 casemix. Results are

presented as a four quarter









Se 9

07









Se 8









D 9

9

M 6









D 7









D 8



M 8

9

7









M 7

8









0



-0

-0



-0







0







-0







0



-0



-0

-0









0

0









p-

p-









p-









n-

n-









n-









ec

ec









ec









ec



ar

ar









ar





rolling average.









Ju

Ju









Ju

Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure Tw.11: DOSA rate

90 against time for the

Tairawhiti DHB hospital over

DOSA rate (%)









80

the last three years. Also

70 shown is the DOSA rate for

60 all DHBs nationwide over the

same period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Tairaw hiti all DHBs









150

Standardised DOSA rate (%)









Figure Tw.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Tairawhiti DHB hospital

casemix. Results are

50 presented as a four quarter

rolling average.

Se 8









Se 9

07









8









D 8



M 8

9









D 9

9

D 7



M 7

M 6

7









0



-0



-0







0

-0









-0

0



-0

-0



-0









0









0

p-









p-

p-









n-









n-

n-









ec









ec

ec

ec









ar

ar

ar









Ju









Ju

Ju



Se

D









Quarter









122 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16

Figure Tw.13: DNA rate

14 against time for the

Did not attends (%)







12 Tairawhiti DHB hospital over

10 the last three years. Also

8

shown is the DNA rate for all

DHBs nationwide over the

6

same period.

4



2

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Tairaw hiti all DHBs







Staff Turnover (Organisational Health)

5

Figure Tw.14: Staff turnover

against time for the

a

Staff turnover (%)









4 Tairawhiti DHB hospital over

the last three years. Also

3 shown is the staff turnover

rate for all DHBs nationwide

2 over the same period.

Results are presented as a

1 four quarter rolling average.

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter

Tairaw hiti all DHBs







Sick Leave (Organisational Health)

4.5

Figure Tw.15: Sick leave

4 against time for the

Tairawhiti DHB hospital over

Sick leave (%)









3.5



3 the last three years. Also

2.5

shown is the sick leave rate

for all DHBs nationwide over

2

the same period.

1.5



1

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

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ec









ec









ec









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ar









ar









ar

Ju









Ju

Se

D









Quarter

Tairaw hiti all DHBs









DHB Hospital Benchmark Information: December 2009 123

Workplace Illnesses or Injuries (Organisational Health)



25

Figure Tw.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for the Tairawhiti DHB

15 hospital over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.

ar









ar









ar

Ju









Ju



Se

D









Quarter

Tairaw hiti all DHBs









Tairawhiti DHB Hospital: Patient Satisfaction

100





95

92.2

Patient satisfaction (%)









91.1 91.3

90.2 89.8

89.2

90 87.9

86.4 87.1

85.6 85.2 85.6 85.6 85.4

85 83.7





80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure Tw.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for the Tairawhiti DHB hospital. Total results are broken down

into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









124 DHB Hospital Benchmark Information: December 2009

Taranaki DHB Hospitals: Summary Information

Table 20: Summary of Taranaki DHB results against all HBI performance measures. Trend indicators:

▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change over four

quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings suggest

poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 69.7 68.5 80.0 12(20) ▼

minutes

Triage 3 % triage 3 patients seen within 30 44.1 47.6 75.0 12(20) ▼

minutes

Acute Readmission Rate readmissions per 1,000 discharges 65.1 62.2 15(21) ▲

Patient Satisfaction**

Overall % score for overall satisfaction 89.5 88.6 8(20) ■

Respect aggregated % score for Respect 89.3 86.8 4(20) ■

dimension

Information aggregated % score for Information 82.9 82.1 7(20) ■

dimension

Coordination aggregated % score for Co-ordination 87.2 84.3 2(20) ■

dimension

Physical aggregated % score for Physical 84.6 83.8 9(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.03 0.13 1(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.16 4.33 11(21) ▼

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 99.5 12(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 51.0 54.3 15(21) ▲

Standardised Rate day surgery as % of expected day 89.4 21(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 88.0 80.0 9(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 103.2 10(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 6.85 8.65 6(21) ▲

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.08 2.25 9(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.31 2.67 5(21) ▼

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 5.91 7.76 8(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 29.3 44.3 ■

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.65 1.51 10(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.03 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 192.0 181.6 10(21) ▲

Nursing for nursing personnel 72.6 72.5 7(21) ▲

Allied Health for allied health professional staff 61.9 65.1 3(21) ■

Support for support staff 41.4 44.2 4(21) ■

Management and Administration for managers and administrators 60.9 60.7 17(21) ▲

Total for total provider arm workforce 78.0 81.5 6(21) ▲

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









DHB Hospital Benchmark Information: December 2009 125

Taranaki DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure Tn.1: Triage 1 rate

95

against time for Taranaki

Triage 1 rate (%)









DHB hospitals over the last

90 three years. Also shown is

the triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju



Se

D









Quarter

Taranaki all DHBs









100

Figure Tn.2: Triage 2 rate

90 against time for Taranaki

Triage 2 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60

the triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40

recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









professional within 10

ar









ar









ar

Ju









Ju



Se

D









Quarter minutes.

Taranaki all DHBs









100

Figure Tn.3: Triage 3 rate

90

against time for Taranaki

Triage 3 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60 the triage 3 rate for all DHBs

50 nationwide over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 30

Ju









Ju



Se

D









Quarter minutes.

Taranaki all DHBs







126 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure Tn.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for Taranaki DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Taranaki all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure Tn.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Taranaki DHB hospitals over

88 the last three years. Also

86

shown is overall patient

satisfaction for all DHBs

84

nationwide over the same

82 period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









in Figure Tn.17.)

ar









ar









ar

Ju









Ju

Se

D









Quarter

Taranaki all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)



0.5

Figure Tn.6: HABSI rate

0.4 against time for Taranaki

HABSI rate (‰)









DHB hospitals, for nine

0.3

quarters since introduction of

0.2

the amended HABSI

measure. Also shown is the

0.1 HABSI rate for all DHBs

nationwide since the March

0

2008 quarter, by which time

most DHBs had collected

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









four quarters of data.

D









Quarter Results are presented as a

Taranaki all DHBs four quarter rolling average.





DHB Hospital Benchmark Information: December 2009 127

Average Length of Stay (Process and Efficiency)

5.5

Figure Tn.7: ALOS against

time for Taranaki DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Taranaki all DHBs









115

Figure Tn.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

100

percentage of the expected

ALOS, weighted to take

account of the Taranaki

DHB hospital casemix.

Results are presented as a

85

four quarter rolling average.

Se 9

07









Se 8









D 9

9

7









D 7



M 7

8









D 8



M 8

9

M 6









0



-0

-0



-0







0



-0



-0







0



-0



-0

0









0

p-









p-

p-









n-

n-









n-









ec

ec









ec









ec

ar









ar

ar

Ju









Ju









Ju

Se

D









Quarter







Day Surgery Rate (Process and Efficiency)



75

Figure Tn.9: Day surgery

70

rate against time for

Day surgery rate (%)









65 Taranaki DHB hospitals over

60

the last three years. Also

55 shown is the day surgery

50 rate for all DHBs nationwide

45 over the same period.

40 Results are presented as a

35 four quarter rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Taranaki all DHBs









128 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115

Figure Tn.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100

of the expected result for

day surgery, weighted to

take account of the Taranaki

DHB hospital casemix.

85 Results are presented as a

four quarter rolling average.









09

Se 7









Se 8









D 9

9

M 6









D 7







8









D 8



M 8

9

7









M 7









-0







0



-0

-0



-0







0



-0



-0







0



-0

0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec









ec



ar

ar









ar









Ju

Ju









Ju









Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure Tn.11: DOSA rate

90 against time for Taranaki

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Taranaki all DHBs









150

Figure Tn.12: Standardised

Standardised DOSA rate (%)









DOSA rate, that is, actual

125 DOSA rate expressed as a

percentage of the expected

100 DOSA rate, weighted to take

account of the Taranaki DHB

75 hospital casemix. Results

are presented as a four

50 quarter rolling average.

Se 8









09

Se 7









8









D 8



M 8

9









D 9

9

D 7



M 7

M 6

7









0



-0



-0







0

-0









-0

0



-0

-0



-0









0

0









p-









p-

p-









n-









n-

n-









ec









ec

ec

ec









ar

ar

ar









Ju









Ju

Ju









Se

D









Quarter









DHB Hospital Benchmark Information: December 2009 129

Did Not Attends (Process and Efficiency)

16

Figure Tn.13: DNA rate

14 against time for Taranaki

Did not attends (%)









12 DHB hospitals over the last

10 three years. Also shown is

8

the DNA rate for all DHBs

nationwide over the same

6

period.

4



2

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Taranaki all DHBs







Staff Turnover (Organisational Health)

5

Figure Tn.14: Staff turnover

against time for Taranaki

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Taranaki all DHBs







Sick Leave (Organisational Health)

4.5

Figure Tn.15: Sick leave

4 against time for Taranaki

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Taranaki all DHBs









130 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure Tn.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for Taranaki DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.

ar









ar









ar

Ju









Ju

D









Quarter

Taranaki all DHBs









Taranaki DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









89.5 90.0 89.4

89.0 89.3 89.2

90 88.2

87.2 87.2 87.3

84.2 84.6

85 83.8

82.9

81.1

80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure Tn.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Taranaki DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









DHB Hospital Benchmark Information: December 2009 131

Waikato DHB Hospitals: Summary Information

Table 20: Summary of Waikato DHB results against all HBI performance measures. Trend indicators:

▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change over four

quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings suggest

poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 67.2 68.5 80.0 14(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 39.6 47.6 75.0 15(20) ▲

minutes

Acute Readmission Rate readmissions per 1,000 discharges 62.7 62.2 12(21) ▲

Patient Satisfaction**

Overall % score for overall satisfaction 90.0 88.6 7(20) ■

Respect aggregated % score for Respect 89.4 86.8 3(20) ■

dimension

Information aggregated % score for Information 84.2 82.1 4(20) ■

dimension

Coordination aggregated % score for Co-ordination 86.4 84.3 5(20) ■

dimension

Physical aggregated % score for Physical 86.7 83.8 4(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.27 0.13 20(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.81 4.33 19(21) ▼

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 107.4 19(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 52.7 54.3 13(21) ■

Standardised Rate day surgery as % of expected day 98.1 16(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 71.8 80.0 17(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 92.4 17(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 10.79 8.65 19(21) ■

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.29 2.25 12(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.98 2.67 16(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 2.49 7.76 2(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 28.5 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 2.03 1.51 5(21) ■

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 3.38 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 198.5 181.6 13(21) ▲

Nursing for nursing personnel 73.9 72.5 14(21) ■

Allied Health for allied health professional staff 64.8 65.1 8(21) ■

Support for support staff 41.7 44.2 6(21) ■

Management and Administration for managers and administrators 57.1 60.7 13(21) ■

Total for total provider arm workforce 81.3 81.5 12(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









132 DHB Hospital Benchmark Information: December 2009

Waikato DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100 Figure Wk.1: Triage 1 rate

against time for Waikato

95

DHB hospitals over the last

Triage 1 rate (%)









90 three years. Also shown is

the triage 1 rate for all DHBs

85 nationwide over the same

80

period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-

p-









p-

n-









professional immediately.

n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Waikato all DHBs









100 Figure Wk.2: Triage 2 rate

90 against time for Waikato

DHB hospitals over the last

Triage 2 rate (%)









80

three years. Also shown is

70

the triage 2 rate for all DHBs

60

nationwide over the same

50 period. The ACEM

40 recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0









professional within 10

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter minutes.

Waikato all DHBs









100

Figure Wk.3: Triage 3 rate

90

against time for Waikato

Triage 3 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60 the triage 3 rate for all DHBs

50 nationwide over the same

40 period. The ACEM

30 recommendation is that 75

20 percent of triage 3 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









professional within 30

Ju









Ju

D









Quarter minutes.

Waikato all DHBs







DHB Hospital Benchmark Information: December 2009 133

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure Wk.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for Waikato DHB

60 hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Waikato all DHBs









Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure Wk.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Waikato DHB hospitals over

88 the last three years. Data was

86

not supplied for the three

quarters from June 2007 to

84

December 2007. Also shown is

82

overall patient satisfaction for

80 all DHBs nationwide over the

same period. (Detailed results

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar









for patient satisfaction in the

Ju









Ju

Se

D









Quarter latest quarter are presented in

Waikato all DHBs Figure Wk.17.)





Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)

0.5 Figure Wk.6: HABSI rate

against time for Waikato DHB

0.4

hospitals, for 11 quarters since

HABSI rate (‰)









0.3 introduction of the amended

HABSI measure. Also shown

0.2 is the HABSI rate for all DHBs

nationwide since the March

0.1

2008 quarter, when most DHBs

0 had collected four quarters of

data. Results are presented as

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7



Ju 8







D 8



M 8



Ju 9







D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0









a four quarter rolling average.

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

D









Quarter Waikato DHB did not provide

data in the September 2008

Waikato all DHBs

quarter.





134 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)



Figure Wk.7: ALOS against

5.2 time for Waikato DHB

hospitals over the last three

ALOS (days)







4.7

years. Also shown is the

4.2

ALOS of all DHBs

nationwide over the same

3.7 period. Results are

presented as a four quarter

3.2 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Waikato all DHBs









115

Figure Wk.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

percentage of the expected

100

ALOS, weighted to take

account of the Waikato DHB

hospital casemix. Results

are presented as a four

85 quarter rolling average.

Se 9

Se 7









Se 8









D 9

9

7









D 7



M 7

8









D 8



M 8

9

M 6









0



-0

-0



-0







0



-0



-0







0



-0



-0



0

0









0

p-









p-

p-









n-

n-









n-









ec

ec









ec









ec

ar









ar

ar

Ju









Ju









Ju

D









Quarter









Day Surgery Rate (Process and Efficiency)



75

Figure Wk.9: Day surgery

70

rate against time for Waikato

Day surgery rate (%)









65 DHB hospitals over the last

60

three years. Also shown is

55 the day surgery rate for all

50 DHBs nationwide over the

45 same period. Results are

40 presented as a four quarter

35 rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Waikato all DHBs









DHB Hospital Benchmark Information: December 2009 135

Standardised day surgery rate (%) 115

Figure Wk.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100

of the expected result for day

surgery, weighted to take

account of the Waikato DHB

hospital casemix. Results

85 are presented as a four

quarter rolling average.

Se 8









Se 9

07









D 8



M 8

9









D 9

9

8

M 6

7









D 7



M 7









0



-0



-0







0



-0

-0



-0







0



-0



-0









0

0

p-









p-

p-









n-

n-

n-









ec

ec

ec









ec









ar

ar









ar









Ju

Ju

Ju



Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure Wk.11: DOSA rate

90 against time for Waikato

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Waikato all DHBs









150

Standardised DOSA rate (%)









Figure Wk.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Waikato DHB hospital

casemix. Results are

50 presented as a four quarter

rolling average.

Se 8









Se 9

07









8









D 8



M 8

9









D 9

9

D 7



M 7

M 6

7









0



-0



-0







0

-0









-0

0



-0

-0



-0









0









0

p-









p-

p-









n-









n-

n-









ec









ec

ec

ec









ar

ar

ar









Ju









Ju

Ju



Se

D









Quarter









136 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16

Figure Wk.13: DNA rate

14 against time for Waikato

Did not attends (%)







12 DHB hospitals over the last

10 three years. Data was not

8

supplied for the four quarters

of 2006/07. Also shown is

6

the DNA rate for all DHBs

4

nationwide over the same

2 period.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Waikato all DHBs







Staff Turnover (Organisational Health)

5

Figure Wk.14: Staff turnover

against time for Waikato

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter

Waikato all DHBs







Sick Leave (Organisational Health)

4.5

Figure Wk.15: Sick leave

4 against time for Waikato

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter

Waikato all DHBs









DHB Hospital Benchmark Information: December 2009 137

Workplace Illnesses or Injuries (Organisational Health)



25

Figure Wk.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for Waikato DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.

ar









ar









ar

Ju









Ju



Se

D









Quarter

Waikato all DHBs









Waikato DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90.0 90.0 89.9 89.4 89.6

88.9

90 87.9

86.4 87.1 86.7 86.4

85.9

84.2 84.8

85 83.2





80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure Wk.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Waikato DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









138 DHB Hospital Benchmark Information: December 2009

Wairarapa DHB Hospital: Summary Information

Table 22: Summary of Wairarapa DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 100.0 68.5 80.0 1(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 99.7 47.6 75.0 1(20) ■

minutes

Acute Readmission Rate readmissions per 1,000 discharges 69.1 62.2 18(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 91.6 88.6 3(20) ■

Respect aggregated % score for Respect 88.4 86.8 6(20) ■

dimension

Information aggregated % score for Information 84.1 82.1 5(20) ■

dimension

Coordination aggregated % score for Co-ordination 86.8 84.3 4(20) ■

dimension

Physical aggregated % score for Physical 88.1 83.8 2(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.05 0.13 7(21) ▲

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 3.41 4.33 1(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 87.7 2(21) ▼

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 69.4 54.3 1(21) ■

Standardised Rate day surgery as % of expected day 105.1 6(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 96.6 80.0 5(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 109.2 6(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 6.51 8.65 5(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.19 2.25 10(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.02 2.67 3(21) ▲

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 0.00 7.76 1(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 91.8 44.3 ▲

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.31 1.51 18(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.55 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 247.4 181.6 18(21) ■

Nursing for nursing personnel 74.9 72.5 18(21) ■

Allied Health for allied health professional staff 68.1 65.1 19(21) ▲

Support for support staff 48.3 44.2 19(21) ▲

Management and Administration for managers and administrators 48.3 60.7 1(21) ▼

Total for total provider arm workforce 79.4 81.5 8(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









DHB Hospital Benchmark Information: December 2009 139

Wairarapa DHB Hospital: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure Wr.1: Triage 1 rate

95

against time for the

Triage 1 rate (%)









Wairarapa DHB hospital

90 over the last three years.

Also shown is the triage 1

85

rate for all DHBs nationwide

80 over the same period. The

ACEM recommendation is

75 that 100 percent of triage 1

patients should be seen by a

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

health professional

Ju









Ju



Se

D









Quarter immediately.

Wairarapa all DHBs









100

Figure Wr.2: Triage 2 rate

90 against time for the

Triage 2 rate (%)









80 Wairarapa DHB hospital

70 over the last three years.

60

Also shown is the triage 2

rate for all DHBs nationwide

50

over the same period. The

40 ACEM recommendation is

30 that 80 percent of triage 2

patients should be seen by a

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









health professional within 10

ar









ar









ar

Ju









Ju



Se

D









Quarter minutes.

Wairarapa all DHBs









Figure Wr.3: Triage 3 rate

100

against time for the

90

Wairarapa DHB hospital

Triage 3 rate (%)









80 over the last three years.

70 Also shown is the triage 3

60 rate for all DHBs nationwide

50 over the same period. The

40 ACEM recommendation is

30 that 75 percent of triage 3

20 patients should be seen by a

health professional within 30

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









minutes.

ar









ar









ar

Ju









Ju



Se

D









Quarter

Wairarapa all DHBs





140 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure Wr.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for the Wairarapa DHB

60

hospital over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0







0



-0



-0







0

-0









-0



-0







0



-0

0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Wairarapa all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure Wr.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 the Wairarapa DHB hospital

88 over the last three years.

86

Also shown is overall patient

satisfaction for all DHBs

84

nationwide over the same

82

period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









in Figure Wr.17.)

ar









ar









ar

Ju









Ju

D









Quarter

Wairarapa all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)

0.5

Figure Wr.6: HABSI rate

0.4 against time for the

HABSI rate (‰)









Wairarapa DHB hospital, for

0.3 nine quarters since

introduction of the amended

0.2

HABSI measure. Also

0.1 shown is the HABSI rate for

all DHBs nationwide since

0 the March 2008 quarter, by

which time most DHBs had

Se 7









Se 8









Se 9

Ju 7







D 7







Ju 8







D 8



M 8



Ju 9







D 9

M 7









9

M 6









0

-0







0



-0



-0







0



-0



-0









-0

-0









0









0

0









p-

p-









p-

n-









n-

n-







ec









ec









ec

ec



ar









ar









ar









collected four quarters of

D









Quarter data. Results are presented

Wairarapa all DHBs as a four quarter rolling

average.





DHB Hospital Benchmark Information: December 2009 141

Average Length of Stay (Process and Efficiency)

5.5

Figure Wr.7: ALOS against

5

time for the Wairarapa DHB

hospital over the last three

ALOS (days)









4.5 years. Also shown is the

ALOS of all DHBs

4

nationwide over the same

3.5 period. Results are

presented as a four quarter

3 rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Wairarapa all DHBs









115 Figure Wr.8: Standardised

ALOS, that is, the actual

Standardised ALOS (%)









ALOS expressed as a

percentage of the expected

100

ALOS, weighted to take

account of the Wairarapa

DHB hospital casemix.

Results are presented as a

four quarter rolling average.

85

Se 9

07









Se 8









D 9

9

D 7



M 7

8









D 8



M 8

9

M 6

7









0



-0

0



-0



-0







0



-0



-0

-0



-0









0

0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar









ar

ar









Ju

Ju

Ju



Se

D









Quarter







Day Surgery Rate (Process and Efficiency)



75

Figure Wr.9: Day surgery

70

Day surgery rate (%)









rate against time for the

65

Wairarapa DHB hospital

60

over the last three years.

55

Also shown is the day

50

surgery rate for all DHBs

45

nationwide over the same

40

period. Results are

35

presented as a four quarter

rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Wairarapa all DHBs









142 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

115

Figure Wr.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the Wairarapa DHB hospital

85 casemix. Results are

presented as a four quarter









09

Se 7









Se 8









D 9

9

M 8

9

D 7







8









D 8

M 6

7









M 7









0



-0

-0

0



-0



-0







0



-0

-0



-0



0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar

rolling average.









Ju

Ju

Ju









Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure Wr.11: DOSA rate

90 against time for the

Wairarapa DHB hospital

DOSA rate (%)









80

over the last three years.

70 Also shown is the DOSA rate

60 for all DHBs nationwide over

the same period. Results

50

are presented as a four

40 quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Wairarapa all DHBs









150

Standardised DOSA rate (%)









Figure Wr.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Wairarapa DHB hospital

casemix. Results are

50 presented as a four quarter

rolling average.

09

Se 7









Se 8









D 9

9

9

D 7



M 7

8









D 8



M 8

M 6

7









0



-0

-0



-0

0

-0









-0



-0







0

-0







0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar









Ju

Ju

Ju









Se

D









Quarter









DHB Hospital Benchmark Information: December 2009 143

Did Not Attends (Process and Efficiency)

16 Figure Wr.13: DNA rate

14 against time for the

Did not attends (%)









12 Wairarapa DHB hospital

10

over the last three years.

Also shown is the DNA rate

8

for all DHBs nationwide over

6 the same period.

4



2

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0

0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Wairarapa all DHBs







Staff Turnover (Organisational Health)

5

Figure Wr.14: Staff turnover

against time for the

a

Staff turnover (%)









4 Wairarapa DHB hospital over

the last three years. Also

3 shown is the staff turnover

rate for all DHBs nationwide

2 over the same period.

Results are presented as a

1 four quarter rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Wairarapa all DHBs







Sick Leave (Organisational Health)

4.5

Figure Wr.15: Sick leave

4 against time for the

Wairarapa DHB hospital over

Sick leave (%)









3.5

the last three years. Also

3 shown is the sick leave rate

2.5 for all DHBs nationwide over

the same period.

2



1.5

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









9

D 8



M 8

9









D 9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Wairarapa all DHBs









144 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure Wr.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for the Wairarapa DHB

15 hospital over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

Se 8 presented as a four quarter

Se 7









Se 9

8









D 8

M 6









M 8

Ju 7







D 7



M 7









9









D 9

9

0

-0









-0









-0



-0

-0







0



-0









0



-0

0

0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec

rolling average.

ar









ar

ar









Ju









Ju

D









Quarter

Wairarapa all DHBs









Wairarapa DHB Hospital: Patient Satisfaction

100





95 93.9

92.0

Patient satisfaction (%)









91.6 91.1

89.2

90 88.4 87.9 87.8 88.1

86.8 86.0

85.8

84.1 84.5 84.0

85





80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure Wr.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for the Wairarapa DHB hospital. Total results are broken down

into inpatient and outpatient populations, and displayed as bars with appended

numerical results. National figures across the equivalent categories are denoted by

the grey line.









DHB Hospital Benchmark Information: December 2009 145

Waitemata DHB Hospitals: Summary Information

Table 23: Summary of Waitemata DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 62.7 68.5 80.0 16(20) ▲

minutes

Triage 3 % triage 3 patients seen within 30 37.2 47.6 75.0 17(20) ▲

minutes

Acute Readmission Rate readmissions per 1,000 discharges 66.4 62.2 17(21) ■

Patient Satisfaction**

Overall % score for overall satisfaction 88.1 88.6 14(20) ■

Respect aggregated % score for Respect 85.6 86.8 17(20) ■

dimension

Information aggregated % score for Information 80.6 82.1 18(20) ■

dimension

Coordination aggregated % score for Co-ordination 83.6 84.3 17(20) ■

dimension

Physical aggregated % score for Physical 80.6 83.8 17(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.04 0.13 6(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 4.14 4.33 10(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 103.1 18(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 50.8 54.3 16(21) ■

Standardised Rate day surgery as % of expected day 107.1 4(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 91.0 80.0 7(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 105.1 9(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 9.66 8.65 16(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.31 2.25 13(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 3.01 2.67 17(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 9.55 7.76 16(21) ▲

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 49.2 44.3 ■

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.47 1.51 14(21) ▲

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.25 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 177.6 181.6 6(21) ■

Nursing for nursing personnel 73.9 72.5 15(21) ■

Allied Health for allied health professional staff 66.2 65.1 14(21) ▲

Support for support staff 48.9 44.2 20(21) ■

Management and Administration for managers and administrators 66.7 60.7 19(21) ■

Total for total provider arm workforce 83.5 81.5 18(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.









146 DHB Hospital Benchmark Information: December 2009

Waitemata DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure Wt.1: Triage 1 rate

90

against time for Waitemata

Triage 1 rate (%)









DHB hospitals over the last

80 three years. Also shown is

the triage 1 rate for all DHBs

70

nationwide over the same

60 period. The ACEM

recommendation is that 100

50 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6









D 8



M 8

Ju 7







D 7



M 7

8









9









D 9

9

-0









0



-0

-0







0



-0



-0









-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju

D









Quarter

Waitemata all DHBs









100

Figure Wt.2: Triage 2 rate

90 against time for Waitemata

Triage 2 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60

the triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40 recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8



M 8

Ju 7









9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









professional within 10

ar









ar









ar

Ju









Ju

D









Quarter minutes.

Waitemata all DHBs









Figure Wt.3: Triage 3 rate

100

against time for Waitemata

90

DHB hospitals over the last

Triage 3 rate (%)









80 three years. Also shown is

70 the triage 3 rate for all DHBs

60 nationwide over the same

50 period. The ACEM

40 recommendation is that 75

30 percent of triage 3 patients

20 should be seen by a health

professional within 30

Se 8

Se 7









Se 9

D 8

M 6









D 7



M 7

8









M 8

9

Ju 7









D 9

9

-0







0

-0









-0









-0

0









-0

-0









0



-0

0

0









0

p-









p-









p-

n-









n-









n-

ec

ec









ec









ec









minutes.

ar

ar









ar

Ju









Ju

D









Quarter

Waitemata all DHBs







DHB Hospital Benchmark Information: December 2009 147

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure Wt.4: Acute

Acute readmission rate (‰)







75

readmission rate against

70

65

time for Waitemata DHB

60

hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0







0

-0



-0







0



-0









-0



-0







0



-0

0

0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Waitemata all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure Wt.5: Overall patient

Patient satisfaction (%)









92 satisfaction against time for

90 Waitemata DHB hospitals

88 over the last three years.

86

Also shown is overall patient

satisfaction for all DHBs

84

nationwide over the same

82

period. (Detailed results for

80 patient satisfaction in the

latest quarter are presented

Se 8

Se 7









09

D 8

M 6









D 7



M 7

8









M 8

9

Ju 7









D 9

9

0

-0









-0

-0







0



-0



-0









-0







0



-0

0

0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec









in Figure Wt.17.)

ar









ar

ar









Ju









Ju



Se

D









Quarter

Waitemata all DHBs







Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)

0.5

Figure Wt.6: HABSI rate

0.4 against time for Waitemata

HABSI rate (‰)









DHB hospitals, for nine

0.3 quarters since introduction of

the amended HABSI

0.2

measure. Also shown is the

0.1 HABSI rate for all DHBs

nationwide since the March

0 2008 quarter, by which time

most DHBs had collected

Se 9

Se 7









Se 8



D 8







Ju 9







D 9

9

Ju 7







D 7







Ju 8

M 6









M 7









M 8

0









0

-0







0



-0



-0









-0



-0









-0

-0









0









0

0









p-









p-

p-









n-









n-

n-









ec









ec

ec









ec









ar

ar









ar









four quarters of data.

D









Quarter Results are presented as a

Waitemata all DHBs four quarter rolling average.







148 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure Wt.7: ALOS against

time for Waitemata DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.



Se 8

Se 7









Se 9

8









D 8

M 6









M 8

Ju 7







D 7



M 7









9









D 9

9

-0









-0







0



-0



-0

-0







0



-0









0



-0

0

0









0

p-









p-









p-

n-









n-









n-

ec









ec

ec









ec

ar

ar









ar

Ju









Ju

D









Quarter

Waitemata all DHBs









115 Figure Wt.8: Standardised

ALOS, that is, the actual

Standardised ALOS (%)









ALOS expressed as a

percentage of the expected

100

ALOS, weighted to take

account of the Waitemata

DHB hospital casemix.

Results are presented as a

four quarter rolling average.

85

09

Se 7









Se 8









D 9

9

D 7



M 7

8









D 8



M 8

9

M 6

7









0



-0

-0



-0







0



-0



-0

-0









0

-0



0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar









ar

ar









Ju

Ju

Ju









Se

D









Quarter







Day Surgery Rate (Process and Efficiency)



75

Figure Wt.9: Day surgery

70

rate against time for

Day surgery rate (%)









65 Waitemata DHB hospitals

60 over the last three years.

55 Also shown is the day

50 surgery rate for all DHBs

45 nationwide over the same

40 period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6









D 7



M 7

Ju 7









8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

Waitemata all DHBs









DHB Hospital Benchmark Information: December 2009 149

Standardised day surgery rate (%) 115

Figure Wt.10: Standardised

day surgery rate, that is,

actual day surgery rate

expressed as a percentage

100

of the expected result for

day surgery, weighted to

take account of the

Waitemata DHB hospital

85 casemix. Results are

presented as a four quarter









Se 9

07









Se 8









D 9

9

M 8

9

D 7







8









D 8

M 6

7









M 7









0



-0

-0



-0

0

-0









-0



-0







0

-0









0

0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar





rolling average.









Ju

Ju

Ju



Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure Wt.11: DOSA rate

90 against time for Waitemata

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









09

M 6









D 7



M 7

Ju 7









8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

Waitemata all DHBs









150

Figure Wt.12: Standardised

Standardised DOSA rate (%)









DOSA rate, that is, actual

125 DOSA rate expressed as a

percentage of the expected

100 DOSA rate, weighted to take

account of the Waitemata

75 DHB hospital casemix.

Results are presented as a

50 four quarter rolling average.

Se 9

07









Se 8









D 9

9

M 8

9

D 7



M 7

8









D 8

M 6

7









0



-0

-0



-0

0

-0









-0



-0







0

-0









0

0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar









Ju

Ju

Ju



Se

D









Quarter









150 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16 Figure Wt.13: DNA rate

14 against time for Waitemata

Did not attends (%)





12 DHB hospitals over the last

10

three years. Also shown is

the DNA rate for all DHBs

8

nationwide over the same

6

period.

4



2





Se 8

Se 7









Se 9

D 8

M 6









M 7

8









M 8

D 7









9

Ju 7









D 9

9

0

-0









-0



-0









-0

0









-0

-0









0



-0

0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar

ar









ar

Ju









Ju

D









Quarter

Waitemata all DHBs







Staff Turnover (Organisational Health)

5

Figure Wt.14: Staff turnover

against time for Waitemata

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

Se

D









Quarter

Waitemata all DHBs







Sick Leave (Organisational Health)

4.5

Figure Wt.15: Sick leave

4 against time for Waitemata

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

Se 9

Se 7









08









M 8









D 9

9

M 6



Ju 7







D 7



M 7

8









D 8







9







0



-0

-0



-0







0



-0



-0







0



-0



-0



0

0

p-









p-









p-

n-









n-









n-

ec









ec

ec

ec



ar









ar









ar

Ju









Ju

Se

D









Quarter

Waitemata all DHBs









DHB Hospital Benchmark Information: December 2009 151

Workplace Illnesses or Injuries (Organisational Health)



25

Figure Wt.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for Waitemata DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 8

Se 7









09

8









D 8

M 6









M 8

Ju 7







D 7



M 7









9









D 9

9

0

-0









-0

-0







0



-0



-0









-0







0



-0

0

0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar rolling average.

ar









ar

Ju









Ju



Se

D









Quarter

Waitemata all DHBs









Waitemata DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90 88.1 88.8

87.3

85.7 86.4

85.6 85.4 85.2

85 83.6

81.4 82.2

80.6 80.6

79.1 78.7

80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure Wt.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Waitemata DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









152 DHB Hospital Benchmark Information: December 2009

West Coast DHB Hospitals: Summary Information

Table 24: Summary of West Coast DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20)

Triage 2 % triage 2 patients seen within 10 95.8 68.5 80.0 2(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 89.0 47.6 75.0 3(20) ■

minutes

Acute Readmission Rate readmissions per 1,000 discharges 56.9 62.2 7(21) ▼

Patient Satisfaction**, ***

Overall % score for overall satisfaction 88.6

Respect aggregated % score for Respect 86.8

dimension

Information aggregated % score for Information 82.1

dimension

Coordination aggregated % score for Co-ordination 84.3

dimension

Physical aggregated % score for Physical 83.8

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.03 0.13 1(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 3.55 4.33 3(21) ▼

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 89.8 3(21) ▼

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 60.7 54.3 5(21) ■

Standardised Rate day surgery as % of expected day 111.7 1(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 57.9 80.0 21(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 65.7 21(21) ■

adjusted)

Did Not Attends (DNA) % rate of non-attendance for specialist 9.59 8.65 15(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 2.51 2.25 17(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 2.21 2.67 4(21) ■

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 19.03 7.76 21(21) ■

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 42.2 44.3 ▼

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.56 1.51 12(21) ▼

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 0.70 1.50 ▲

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 297.1 181.6 20(21) ■

Nursing for nursing personnel 76.9 72.5 21(21) ▲

Allied Health for allied health professional staff 54.2 65.1 1(21) ▼

Support for support staff 44.4 44.2 11(21) ■

Management and Administration for managers and administrators 51.7 60.7 3(21) ▼

Total for total provider arm workforce 75.4 81.5 1(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.

*** Information is not available for West Coast in this quarter.









DHB Hospital Benchmark Information: December 2009 153

West Coast DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure WC.1: Triage 1 rate

95

against time for West Coast

Triage 1 rate (%)









DHB hospitals over the last

90 three years. Also shown is the

triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









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n-

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ar









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ar



professional immediately. No

Ju









Ju

D









Quarter triage 1 patient incidents were

West Coast all DHBs reported in the December

2006 quarter or the June and

September quarters of 2007.



100 Figure WC.2: Triage 2 rate

90 against time for West Coast

DHB hospitals over the last

Triage 2 rate (%)









80

three years. Also shown is

70

the triage 2 rate for all DHBs

60

nationwide over the same

50 period. The ACEM

40 recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6









M 7

8









D 8



M 8

Ju 7







D 7









9









D 9

9

-0









0

-0







0



-0



-0









-0



-0







0



-0

0









0









0









professional within 10

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter minutes.

West Coast all DHBs









100 Figure WC.3: Triage 3 rate against

90 time for West Coast DHB hospitals over

the last three years. Also shown is the

Triage 3 rate (%)









80

70 triage 3 rate for all DHBs nationwide

60 over the same period. The ACEM

50 recommendation is that 75 percent of

40 triage 3 patients should be seen by a

30 health professional within 30 minutes.

20

Se 7









Se 8









Se 9

M 6









D 7



M 7

Ju 7









8









D 8



M 8

9









D 9

9

-0









0



-0

-0







0



-0



-0









-0







0



-0

0









0









0

p-









p-









p-

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n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

West Coast all DHBs









154 DHB Hospital Benchmark Information: December 2009

Acute Readmission Rate (Quality and Patient Outcome)

80

Figure WC.4: Acute

Acute readmission rate (‰)

75

readmission rate against

70

65

time for West Coast DHB

60

hospitals over the last three

55 years. Also shown is the

50 acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0







0

-0



-0







0



-0









-0



-0







0



-0

0

0









0

p-









p-









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n-









n-









n-

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ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

West Coast all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

98 Figure WC.5: Overall

Patient satisfaction (%)









96

patient satisfaction against

94

time for West Coast DHB

92

90

hospitals over the last three

88

years. Also shown is overall

86 patient satisfaction for all

84 DHBs nationwide over the

82 same period. Data for the

80 quarters from March 2008 to

September 2008, and

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

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ec









ec

ar









ar









ar









December 2008 and 2009

Ju









Ju

Se

D









Quarter quarters have been excluded

West Coast all DHBs

due to poor survey response

rates.





Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)

0.5

Figure WC.6: HABSI rate

0.4

against time for West Coast

DHB hospitals, for 11

HABSI rate (‰)









0.3 quarters since introduction of

the amended HABSI

0.2

measure. Also shown is the

0.1

HABSI rate for all DHBs

nationwide since the March

0 2008 quarter, by which time

most DHBs had collected four

Se 9

Se 7









Se 8



D 8







Ju 9







D 9

9

Ju 7







D 7







Ju 8

M 6









M 7









M 8

0









0

-0







0



-0



-0









-0



-0









-0

-0









0









0

0









p-









p-

p-









n-









n-

n-









quarters of data. Results are

ec









ec









ec

ec









ar

ar









ar

D









Quarter presented as a four quarter

rolling average.

West Coast all DHBs







DHB Hospital Benchmark Information: December 2009 155

Average Length of Stay (Process and Efficiency)

5.5

Figure WC.7: ALOS against

time for West Coast DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.

Se 7









Se 8









09

M 6









D 7



M 7

Ju 7









8









D 8



M 8

9









D 9

9

-0









0

-0







0



-0



-0









-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

West Coast all DHBs









115

Figure WC.8: Standardised

Standardised ALOS (%)









ALOS, that is, the actual

ALOS expressed as a

100

percentage of the expected

ALOS, weighted to take

account of the West Coast

DHB hospital casemix.

Results are presented as a

85

four quarter rolling average.

Se 9

07









Se 8









D 9

9

D 7



M 7

8









D 8



M 8

9

M 6

7









0



-0

0



-0



-0







0



-0



-0

-0



-0









0

0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar









ar

ar









Ju

Ju

Ju



Se

D









Quarter







Day Surgery Rate (Process and Efficiency)



75

Figure WC.9: Day surgery

70 rate against time for West

Day surgery rate (%)









65 Coast DHB hospitals over

60 the last three years. Also

55 shown is the day surgery

50 rate for all DHBs nationwide

45 over the same period.

40 Results are presented as a

35 four quarter rolling average.

Se 7









Se 8









09

M 6









M 7

8









D 8



M 8

Ju 7







D 7









9









D 9

9

-0









-0









0

0







-0









-0

-0









-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

West Coast all DHBs







156 DHB Hospital Benchmark Information: December 2009

Standardised day surgery rate (%)

120

Figure WC.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the West Coast DHB

80 hospital casemix. Results

are presented as a four









09

Se 7









Se 8









D 9

9

9

D 7



M 7

8









D 8



M 8

M 6

7









0



-0

-0

0



-0



-0







0



-0

-0



-0



0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar

quarter rolling average.









Ju

Ju

Ju









Se

D









Quarter









Day of Surgery Admission (Process and Efficiency)



100

Figure WC.11: DOSA rate

90 against time for West Coast

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 7









Se 8









Se 9

M 6









D 7



M 7









D 8



M 8

Ju 7









8









9









D 9

9

-0









-0



-0







0

0









-0

-0









-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

West Coast all DHBs









150

Standardised DOSA rate (%)









Figure WC.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the West Coast DHB

hospital casemix. Results

50 are presented as a four

quarter rolling average.

09

Se 7









Se 8









D 9

9

M 8

9

D 7

7









M 7

8









D 8

M 6









0



-0

0



-0



-0

0

-0









-0



-0

-0







0









0









p-

p-









p-









n-

n-









n-









ec

ec









ec

ec









ar

ar









ar









Ju

Ju

Ju









Se

D









Quarter









DHB Hospital Benchmark Information: December 2009 157

Did Not Attends (Process and Efficiency)

16 Figure WC.13: DNA rate

14 against time for West Coast

Did not attends (%)









12 DHB hospitals over the last

10

three years. Also shown is

the DNA rate for all DHBs

8

nationwide over the same

6 period.

4



2

Se 7









Se 8









09

M 6









M 7

8









D 8



M 8

Ju 7







D 7









9









D 9

9

-0









0

-0







0



-0



-0









-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju



Se

D









Quarter

West Coast all DHBs







Staff Turnover (Organisational Health)

5 Figure WC.14: Staff

turnover against time for

a

Staff turnover (%)









4 West Coast DHB hospitals

over the last three years.

3 Also shown is the staff

turnover rate for all DHBs

2 nationwide over the same

period. Results are

1 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

Ju









Ju

D









Quarter

West Coast all DHBs









Sick Leave (Organisational Health)

4.5

Figure WC.15: Sick leave

4 against time for West Coast

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

Se 9

Se 7









Se 8

Ju 7







D 7



M 7

8









M 8









D 9

9

M 6









D 8







9

-0









-0









0



-0

-0



-0







0



-0









0







-0

0









0

0

p-









p-









p-

n-









n-









n-

ec









ec

ec

ec



ar









ar









ar

Ju









Ju

D









Quarter

West Coast all DHBs







158 DHB Hospital Benchmark Information: December 2009

Workplace Illnesses or Injuries (Organisational Health)



25

Figure WC.16: Workplace

or injuries (/1,000,000 hrs)





illnesses or injuries against

Workplace illnesses









20

time for West Coast DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

Se 8 presented as a four quarter

Se 7









Se 9

D 8

M 6









D 7



M 7

8









M 8

9

Ju 7









D 9

9

0

-0









0



-0



-0









-0



-0

-0









0



-0

0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

rolling average.



ar

ar









ar

Ju









Ju

D









Quarter

West Coast all DHBs









West Coast DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90





85





80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure WC.17: Patient satisfaction results were not reported by West Coast DHB

hospitals for this quarter due to an absence of survey responses. National figures

across the equivalent categories are denoted by the grey line.









DHB Hospital Benchmark Information: December 2009 159

Whanganui DHB Hospitals: Summary Information

Table 25: Summary of Whanganui DHB results against all HBI performance measures. Trend

indicators: ▲ = up over four quarters, ▼ = down over four quarters, ■ = less than five percent change

over four quarters. Ranking is numbered so that 1 is suggestive of high performance; lower rankings

suggest poorer performance. Total number of DHBs that provided data is given in brackets.

Measure Form of Expression Result All DHBs B'mark Rank Trend

Quality and Patient Outcome

Emergency Triage Rates

Triage 1* % triage 1 patients seen immediately 100.0 99.9 100.0 1(20) ■

Triage 2 % triage 2 patients seen within 10 90.1 68.5 80.0 3(20) ■

minutes

Triage 3 % triage 3 patients seen within 30 90.5 47.6 75.0 2(20) ▼

minutes

Acute Readmission Rate readmissions per 1,000 discharges 81.7 62.2 21(21) ▲

Patient Satisfaction**

Overall % score for overall satisfaction 88.1 88.6 15(20) ■

Respect aggregated % score for Respect 86.6 86.8 14(20) ■

dimension

Information aggregated % score for Information 80.8 82.1 16(20) ■

dimension

Coordination aggregated % score for Co-ordination 84.2 84.3 14(20) ■

dimension

Physical aggregated % score for Physical 86.1 83.8 6(20) ■

dimension

Hospital Associated S. aureus bloodstream infections per 1,000 bed 0.03 0.13 3(21) ▼

Bloodstream Infections (HABSI) days

Process and Efficiency

Average Length of Stay (ALOS)

ALOS average days stayed per discharged 3.81 4.33 6(21) ■

inpatient

Standardised ALOS ALOS as % of expected ALOS (casemix 97.0 8(21) ■

adjusted)

Day Surgery

Day Surgery Rate day surgery as % of all surgery 55.8 54.3 10(21) ▼

Standardised Rate day surgery as % of expected day 99.5 11(21) ■

surgery (casemix adjusted)

Day of Surgery Admissions (DOSA)

DOSA rate DOSA as % of all inpatient surgery 99.2 80.0 1(21) ■

Standardised Rate DOSA as % of expected DOSA (casemix 111.7 3(21) ■

adjusted)

Did Not Attends (DNA)*** % rate of non-attendance for specialist 0.00 8.65 1(21) ▼

appointments

Organisational Health

Staff Turnover resignations for quarter as % of total 1.77 2.25 2(21) ▼

headcount

Sick Leave sick leave hours as % of accrued FTE 1.92 2.67 1(21) ▼

hours

Workplace Injuries or Illnesses injuries/illnesses per 1,000,000 hours 5.99 7.76 9(21) ▼

worked

Finance

Debt to Debt + Equity debt at quarter end as % of (debt + 55.0 44.3 ■

equity)

Revenue to Fixed Assets ratio of 12 months' revenue to fixed 1.29 1.51 19(21) ■

assets at quarter end

Capital Expenditure to Depreciation ratio of capital expenditure to depreciation 1.29 1.50 ▼

over the quarter

Staff Cost Ratios staff costs (in $1' 000s) divided by

workforce FTEs:

Medical for medical personnel 220.0 181.6 17(21) ▼

Nursing for nursing personnel 69.8 72.5 2(21) ■

Allied Health for allied health professional staff 67.1 65.1 17(21) ▲

Support for support staff 40.2 44.2 2(21) ▲

Management and Administration for managers and administrators 51.3 60.7 2(21) ■

Total for total provider arm workforce 79.1 81.5 7(21) ■

* Nineteen of tw enty DHBs achieved a triage 1 rate of 100% and w ere ranked 1(20).

** Further information on dimensions of patient satisfaction is available in Appendix III.

*** Information is not available for Whanganui in this quarter









160 DHB Hospital Benchmark Information: December 2009

Whanganui DHB Hospitals: Results Over Time



Emergency Triage Rates (Quality and Patient Outcome)

100

Figure Wh.1: Triage 1 rate

95

against time for Whanganui

Triage 1 rate (%)









DHB hospitals over the last

90 three years. Also shown is

the triage 1 rate for all DHBs

85

nationwide over the same

80 period. The ACEM

recommendation is that 100

75 percent of triage 1 patients

should be seen by a health

Se 7









08









Se 9

M 6



Ju 7







D 7



M 7

8









D 8



M 8

9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec

ar









ar









ar

professional immediately.

Ju









Ju

Se

D









Quarter

Whanganui all DHBs









100

Figure Wh.2: Triage 2 rate

90 against time for Whanganui

Triage 2 rate (%)









80 DHB hospitals over the last

70 three years. Also shown is

60

the triage 2 rate for all DHBs

nationwide over the same

50

period. The ACEM

40 recommendation is that 80

30 percent of triage 2 patients

should be seen by a health

Se 7









Se 8









Se 9

M 6









D 7



M 7

8









D 8



M 8

Ju 7









9









D 9

9

-0



-0







0



-0



-0







0



-0



-0







0



-0

0









0









0

p-









p-









p-

n-









n-









n-

ec









ec









ec









ec









professional within 10

ar









ar









ar

Ju









Ju

D









Quarter minutes.

Whanganui all DHBs









Figure Wh.3: Triage 3 rate

100

against time for Whanganui

90

DHB hospitals over the last

Triage 3 rate (%)









80 three years. Also shown is

70 the triage 3 rate for all DHBs

60 nationwide over the same

50 period. The ACEM

40 recommendation is that 75

30 percent of triage 3 patients

20 should be seen by a health

professional within 30

Se 8

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D 8

M 6









D 7



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minutes.

ar

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Quarter

Whanganui all DHBs







DHB Hospital Benchmark Information: December 2009 161

Acute Readmission Rate (Quality and Patient Outcome)

85

Figure Wh.4: Acute

Acute readmission rate (‰)







80

75

readmission rate against

70 time for Whanganui DHB

65 hospitals over the last three

60 years. Also shown is the

55

50

acute readmission rate for all

45 DHBs nationwide over the

40 same period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









09

M 6



Ju 7







D 7



M 7

8









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9









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9

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-0



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Quarter

Whanganui all DHBs







Overall Patient Satisfaction (Quality and Patient Outcome)

94

Figure Wh.5: Overall

Patient satisfaction (%)









92 patient satisfaction against

90 time for Whanganui DHB

88 hospitals over the last three

86

years. Also shown is overall

patient satisfaction for all

84

DHBs nationwide over the

82 same period. (Detailed

80 results for patient

satisfaction in the latest

Se 7









Se 8









09

M 6









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M 8

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quarter are presented in

ar









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Quarter Figure Wh.17.)

Whanganui all DHBs









Healthcare Associated S. aureus Bloodstream Infections (Q. and P.O.)

0.5

Figure Wh.6: HABSI rate

0.4 against time for Whanganui

HABSI rate (‰)









DHB hospitals, for eight

0.3 quarters since introduction of

the amended HABSI

0.2

measure. Also shown is the

0.1 HABSI rate for all DHBs

nationwide since the March

0 2008 quarter, by which time

most DHBs had collected four

Se 7









Se 8









Se 9



D 9

Ju 7







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quarters of data. Results are

D









Quarter presented as a four quarter

Whanganui all DHBs rolling average.





162 DHB Hospital Benchmark Information: December 2009

Average Length of Stay (Process and Efficiency)

5.5

Figure Wh.7: ALOS against

time for Whanganui DHB

5 hospitals over the last three

ALOS (days)









years. Also shown is the

4.5 ALOS of all DHBs

nationwide over the same

4 period. Results are

presented as a four quarter

3.5 rolling average.



Se 8

Se 7









Se 9

D 8

M 6









M 7

8









M 8

9

Ju 7







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9

0

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Quarter

Whanganui all DHBs









115

Figure Wh.8:

Standardised ALOS, that

Standardised ALOS (%)









is, the actual ALOS

expressed as a

percentage of the

100

expected ALOS, weighted

to take account of the

Whanganui DHB hospital

casemix. Results are

85 presented as a four

quarter rolling average.

Se 9

Se 7









Se 8









D 9

9

D 7









M 8

9

M 6

7









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Quarter









Day Surgery Rate (Process and Efficiency)



75 Figure Wh.9: Day surgery

70 rate against time for

Day surgery rate (%)









65 Whanganui DHB hospitals

60 over the last three years.

55 Also shown is the day

50 surgery rate for all DHBs

45 nationwide over the same

40 period. Results are

35 presented as a four quarter

rolling average.

Se 7









Se 8









Se 9

M 6









D 7



M 7

Ju 7









8









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9

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Quarter

Whanganui all DHBs









DHB Hospital Benchmark Information: December 2009 163

Standardised day surgery rate (%) 115

Figure Wh.10:

Standardised day surgery

rate, that is, actual day

surgery rate expressed as a

100

percentage of the expected

result for day surgery,

weighted to take account of

the Whanganui DHB

85 hospital casemix. Results

are presented as a four









Se 9

07









Se 8









D 9

9

M 8

9

D 7







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D 8

M 6

7









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ar

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quarter rolling average.









Ju

Ju

Ju



Se

D









Quarter









Day of Surgery Admission Rate (Process and Efficiency)



100

Figure Wh.11: DOSA rate

90 against time for Whanganui

DHB hospitals over the last

DOSA rate (%)









80

three years. Also shown is

70 the DOSA rate for all DHBs

60 nationwide over the same

period. Results are

50

presented as a four quarter

40 rolling average.

Se 8

Se 7









09

D 8

M 6









D 7



M 7

8









M 8

9

Ju 7









D 9

9

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Quarter

Whanganui all DHBs









150

Standardised DOSA rate (%)









Figure Wh.12:

Standardised DOSA rate,

125 that is, actual DOSA rate

expressed as a percentage

100 of the expected DOSA rate,

weighted to take account of

75 the Whanganui DHB

hospital casemix. Results

50 are presented as a four

quarter rolling average.

Se 9

07









Se 8









D 9

9

M 8

9

D 7



M 7

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D 8

M 6

7









0



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Quarter









164 DHB Hospital Benchmark Information: December 2009

Did Not Attends (Process and Efficiency)

16

Figure Wh.13: DNA rate

14 against time for Whanganui

Did not attends (%)







12 DHB hospitals over the last

10 three years. Also shown is

8

the DNA rate for all DHBs

nationwide over the same

6

period. Whanganui DHB did

4 not provide data for the

2 current quarter.



Se 8

Se 7









Se 9

M 6









8









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M 8

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M 7









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0

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Quarter

Whanganui all DHBs









Staff Turnover (Organisational Health)

5

Figure Wh.14: Staff turnover

against time for Whanganui

a

Staff turnover (%)









4 DHB hospitals over the last

three years. Also shown is

3 the staff turnover rate for all

DHBs nationwide over the

2 same period. Results are

presented as a four quarter

1 rolling average.

Se 7









08









Se 9

M 6



Ju 7







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M 7

8









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Quarter

Whanganui all DHBs









Sick Leave (Organisational Health)

4.5

Figure Wh.15: Sick leave

4 against time for Whanganui

DHB hospitals over the last

Sick leave (%)









3.5

three years. Also shown is

3 the sick leave rate for all

2.5 DHBs nationwide over the

same period.

2



1.5

Se 9

Se 7









08









D 9

9

M 6



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Quarter

Whanganui all DHBs



DHB Hospital Benchmark Information: December 2009 165

Workplace Illnesses or Injuries (Organisational Health)



25

Figure Wh.16: Workplace

or injuries (/1,000,000 hrs)









illnesses or injuries against

Workplace illnesses









20

time for Whanganui DHB

15 hospitals over the last three

years. Also shown is the

10

rate of workplace illnesses or

5 injuries for all DHBs

nationwide over the same

0 period. Results are

presented as a four quarter

Se 7









Se 8









09

M 6









D 8



M 8

Ju 7







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rolling average.

ar









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ar

Ju









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Quarter

Whanganui all DHBs









Whanganui DHB Hospitals: Patient Satisfaction

100





95

Patient satisfaction (%)









90.3

90 88.1 88.4 87.8 88.3

86.6 86.1

85.5 84.8

84.2 84.7

85 83.6

80.8 80.6 80.9

80





75





70

Total









Total









Total









Total









Total

Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Inpatient



Outpatient









Overall Respect Information Co-ordination Physical



Dimensions



Figure Wh.17: Overall patient satisfaction, as well as patient satisfaction across four

dimensions of care, for Whanganui DHB hospitals. Total results are broken down into

inpatient and outpatient populations, and displayed as bars with appended numerical

results. National figures across the equivalent categories are denoted by the grey

line.









166 DHB Hospital Benchmark Information: December 2009

Appendix I: Measure Descriptions

Each of the financial and non-financial performance measures detailed in this report is briefly described in Table 26 below. Full

definitions can be obtained by contacting the Ministry of Health.

Table 26: Performance measures comprising the HBI report in the December 2009 quarter. A description and the units used for each

measure are given, along with guidance on how the measure should be interpreted.

Measure Description Units of expression Interpretation



Quality and Patient Outcome

Patient satisfaction Overall patient satisfaction measure is derived from the Percentage High and/or improving rates are desirable.

national Patient Satisfaction Survey. One question asks

‘overall, how satisfied were you with our service?’, and is

answered using a five-part Likert scale with responses from

‘very poor’ to ‘very good’. In collating responses, ‘very poor’

scores 0 percent satisfaction, while ‘very good’ scores 100

percent. Responses for all respondents (inpatient and

outpatient) are averaged in order to derive the overall patient

satisfaction score for a DHB.



Scores are derived in similar fashion for the four dimensions

of patient care, from clusters of questions identified in

Appendix IV. All responses are averaged in order to derive

the score for each dimension.

Acute readmission The number of acute admissions that occur within seven Rate per 1,000 Low and/or decreasing rates are desirable.

rate calendar days of a previous routine inpatient discharge inpatient discharges However, it must be borne in mind that

divided by there is an inverse relationship between

Total inpatient discharges. Results included in this length of stay and readmissions; there is

report are a four therefore a conflict between the desire for

(in this context ‘inpatient discharges’ is used to describe quarter rolling average. low average length of stay (see below) and

hospital stays with an overnight stay or longer). low rate of acute readmissions.

Healthcare The number of incidences of S. aureus bloodstream infection Rate per 1,000 bed Low and/or decreasing rates are desirable.


associated S. associated with DHB healthcare provision days


aureus bloodstream divided by


infection Occupied bed days.










DHB Hospital Benchmark Information: December 2009 167

DHB Hospital Benchmark Information: December 2009 168









Measure Description Units of expression Interpretation

Emergency triage There are three triage categories included in HBI: Percentage in each High and/or increasing rates are desirable.

rates  Triage 1: Patients with an immediate threat to life code

and limb; the Australasian College of Emergency

Medicine (ACEM) recommends 100 percent should

be seen by a health professional immediately;

 Triage 2: A potential or imminent threat to life and

limb; ACEM recommends 80 percent should be seen

by a health professional within 10 minutes;

 Triage 3: Patients with conditions requiring urgent

treatment or having significant symptoms; ACEM

recommends 75 percent should be seen by a health

professional within 30 minutes.



Rate for each triage code is:

The number of patients for whom medical assessment and

treatment commences within the ACEM recommended triage

time

divided by

The number of patients in the category.



Process and Efficiency

Did not attends The number of patients who did not attend for a specialist Percentage Low and/or decreasing rates of DNAs are

(DNA) clinical appointment within specified categories during the desirable.

period

divided by

The number of scheduled specialist clinic appointments

within specified categories during the period.









6

Measure Description Units of expression Interpretation

Average length of ALOS:
Actual ALOS in days Low ALOS and ALOS rates are desirable.

stay (ALOS) The total number of inpatient midnight stays
An ALOS rate below 100 percent indicates

divided by ALOS rate as a performance above the sector average for

Total number of discharges, not including daycase patients.
percentage this measure.



Expected ALOS:
Results included in this

The sector average ALOS for each Diagnosis Related Group
report are a four

(DRG), applied to each DHB’s unique DRG casemix.
quarter rolling average.



ALOS rate:


ALOS


divided by

Expected ALOS.


Day surgery rate Day Surgery rate:
Day surgery rate as a High day surgery rates (actual and

The number of elective and arranged discharges with the
percentage standardised) are desirable. A standardised

same admission and discharge date during the period
day surgery rate above 100 percent

divided by Ratio of actual to indicates performance above the sector

The total of all elective and arranged discharges during the
expected day surgery average for this measure.

period.
rates as a percentage



Expected rate of daycase procedures:


The sector rate of day surgery for each DRG applied to each


DHB’s unique DRG casemix.




Standardised day surgery rate:


Day surgery rate for the 12 months to the end of each


quarter


divided by

Expected day surgery rate for the 12 months to the end of

each quarter.









DHB Hospital Benchmark Information: December 2009 169

DHB Hospital Benchmark Information: December 2009 170









Measure Description Units of expression Interpretation

Day of surgery DOSA rate: Actual DOSA rate as a High actual DOSA and DOSA rate are

admission rate Number of elective and arranged inpatient (i.e. excluding day percentage usually desirable. A DOSA rate above 100

(DOSA) surgery) surgical interventions which take place on the day of percent probably indicates performance

admission during the period DOSA rate as a above the sector average for this measure.

divided by percentage

All elective and arranged inpatient surgical interventions
However, there are important cases where

during the period.
Results included in this admitting a patient the day before surgery

report are a four may be appropriate, such as rural patients

Expected DOSA rate:
quarter rolling average. who have significant travel barriers and

The sector rate of DOSA for each DRG applied to each
patients requiring pre-operative evaluation.

DHB’s unique DRG casemix.




DOSA rate:


The DOSA rate for the period


divided by

The expected DOSA rate for the period.



Organisational Health

Staff turnover The number of provider arm employees who cease Percentage The ideal level for this indicator is not

employment due to voluntary resignation during the quarter known, but peak performance is probably

divided by Results included in this intermediate, i.e., a high value may indicate

The total headcount of provider arm employees at the report are a four high costs for recruitment and training

beginning of the quarter. quarter rolling average. and/or poor morale, a low value may

indicate lack of dynamism due to poor inflow

of new people with fresh ideas.

Sick Leave The total number of paid and unpaid sick leave hours taken Percentage Low and/or declining rates are desirable.

by provider arm employees during the quarter

divided by

The total number of provider arm accrued FTE hours during

the quarter.

Workplace illnesses All occurrences of work related injury or illness resulting in Rate per 1,000,000 Low and/or declining rates are desirable.

or injuries whole days or shifts lost for work by provider arm employees hours worked

during the period

divided by Results included in this

The total number of hours worked by all provider arm report are a four

employees during the quarter. quarter rolling average.







6

Measure Description Units of expression Interpretation



Finance

Debt to debt plus DHB debt as reported for the final month of the quarter Percentage Normal commercial (private sector)

equity divided by boundaries are based on the notion that

The sum of debt and total crown equity for the DHB as higher levels are preferable up to, but not

reported for the final month of the quarter. beyond, 65 percent.



This measure has shifted its focus from provider arm funds to

total DHB funds as of 1 July 2007. This change was required

due to changes in the way DHBs report financial information.

From 1 October 2007 the definition has been modified further

in order to exclude net cash from the calculation.

Revenue to fixed Provider arm revenue summed for the 12 months to the end Ratio Higher rates are generally preferred to lower

assets of the quarter rates.

divided by

DHB fixed assets as reported for the final month of the

quarter.

From 1 July 2007 the denominator (fixed assets) no longer

refers to provider arm assets only, but to total DHB assets.

Capital expenditure The sum of DHB capital expenditure for the three months in Ratio Capital expenditure should not normally

to depreciation the quarter exceed depreciation unless major assets

divided by are being replaced or building is under way;

The sum of DHB depreciation for the three months in the values should therefore usually be less than

quarter. one.

This measure has shifted its focus from provider arm funds to

total DHB funds as of 1 July 2007. This change was required

due to changes in the way DHBs report financial information.

Staff cost ratios The sum of provider arm staff costs (by occupational group) Thousands of dollars No interpretation is to be preferred.

in the financial year to date at end of the quarter per FTE as an

divided by annualised figure,

The average of the provider arm FTE (by occupational tabulated

group) for the financial year to date at the end of the quarter

multiplied by

4 divided by the number of quarters elapsed.







DHB Hospital Benchmark Information: December 2009 171

Appendix II: List of District Health Board Hospitals

Below are listed DHB provider arm facilities. Not all hospitals and other facilities

contribute to all measures in the HBI report. For example, not all hospitals have an

emergency department; only those hospitals offering emergency medicine will

contribute to HBI measures of triage time. In the following list, hospitals with

emergency departments are italicised.



Auckland DHB Hospitals: Auckland City Hospital including Women’s

Health and Starship Children’s Health,

Greenlane Clinical Centre



Bay of Plenty DHB Hospitals: Tauranga Hospital, Whakatane Hospital



Canterbury DHB Hospitals: Christchurch Hospital, Christchurch

Women’s Hospital, Burwood Hospital, The

Princess Margaret Hospital, Ashburton

Hospital, Hillmorton Hospital, Akaroa

Hospital, Darfield Hospital, Ellesmere

Hospital, Kaikoura Hospital, Oxford Hospital,

Waikari Hospital, Lincoln Maternity Hospital,

Tuarangi Home, Lyndhurst Hospital



Capital & Coast DHB Hospitals: Wellington Hospital, Kenepuru Hospital,

Kapati Health Centre



Counties Manukau DHB Hospitals: Middlemore Hospital, Auckland Spinal

Rehabilitation Unit, Botany Downs Maternity

Unit, Franklin Memorial Hospital, Kidz First

Children’s Hospital, Manukau SuperClinic,

Manukau Surgery Centre, Papakura

Maternity Unit, Pukekohe Hospital



Hawke’s Bay DHB Hospitals: Hawke’s Bay Hospital (with regional services

supplied at Napier Health Centre, Central

Hawke’s Bay Health Centre, Chatham Island

Health Centre, Wairoa Hospital and Health

Centre)



Hutt Valley DHB Hospitals: Hutt Hospital



Lakes DHB Hospitals: Rotorua Hospital, Taupo Hospital



MidCentral DHB Hospitals: Palmerston North Hospital, Horowhenua

Hospital



Nelson Marlborough DHB Hospitals: Nelson Hospital, Wairau Hospital, Golden

Bay Community Hospital, Motueka Hospital,

Murchison Hospital, Alexandra Hospital







172 DHB Hospital Benchmark Information: December 2009

Northland DHB Hospitals: Bay of Islands Hospital, Dargaville Hospital,

Kaitaia Hospital, Northern Base Hospital



Otago DHB Hospitals: Dunedin Hospital, Dunstan Hospital, Waitaki

Hospital, Balclutha Hospital, Wakari Hospital



South Canterbury DHB Hospitals: Timaru Hospital, Talbot Park Hospital



Southland DHB Hospitals: Southland Hospital, Lakes District Hospital



Tairawhiti DHB Hospitals: Gisborne Hospital



Taranaki DHB Hospitals: Taranaki Base Hospital, Hawera Hospital



Waikato DHB Hospitals: Thames Hospital, Waikato Hospital,

Taumaranui Hospital, Te Kuiti Hospital,

Tokoroa Hospital, Matariki Hospital, Rhodo

Reid Hospital



Wairarapa DHB Hospitals: Wairarapa Hospital



Waitemata DHB Hospitals: North Shore Hospital, Waitakere Hospital,

Mason Clinic, Taharoto Unit, Te Atarau Unit,

Wilson Centre



West Coast DHB Hospitals: Grey Base Hospital, Buller Hospital, Reefton

Hospital, Kynnersley Rest Home, Ziman

House Rest Home, Seaview Hospital,

Hokitika Health Centre



Whanganui DHB Hospitals: Wanganui Hospital, Taihape Hospital,

Rangitiki Health Centre, Taihape Health

Centre, Waimarino Health Centre









DHB Hospital Benchmark Information: December 2009 173

Appendix III: Patient Satisfaction Dimensions

The national Patient Satisfaction Survey 4 is the source from which information is

drawn for the patient satisfaction scores reported in this publication. All DHBs use a

common set of standard questions for the survey, with questions answered using a

Likert scale. There are two questionnaires, one for inpatients and another for

outpatients.



While a wide range of questions are asked in the national patient satisfaction survey,

only one of these questions has been used in patient satisfaction reporting by the

Ministry of Health up to the September 2006 quarter. This question, asked of both

inpatients and outpatients, is as follows:



“Overall, how satisfied were you with our service?”



A score is calculated (refer to Appendix I) based on all responses to this question, for

both inpatients and outpatients as well as the total of all patients. These results are

included in the current report as ‘overall patient satisfaction’, and in past HBI reports

these have been the only patient satisfaction results presented.



From the December 2006 report onwards, results are also provided against a variety

of dimensions of patient care. These are calculated in a similar way to overall

patient satisfaction, but draw on relevant clusters of questions within the patient

satisfaction surveys. Table 27 gives a description of each dimension, and identifies

those questions from the Patient Satisfaction Survey that contribute to each

dimension. The content of each question can be found in the Patient Satisfaction

Survey Guidelines4.



Table 27: Dimensions of patient satisfaction. These are described, and those questions

that contribute to the score for each dimension are identified. For completeness, overall

patient satisfaction is also included.

Name Description Inpatient Outpatient

Questions Questions

Respect Respect for patient’s values, preferences and 5-9 2, 4, 8-11

expressed needs, impact of illness/treatment on

quality of life, dignity, needs, involvement in decision

making, autonomy.

Co-ordination Co-ordination and integration of care including 10-12 1, 12

clinical care, ancillary and support services, and

‘front-line’ care.

Information Information, communication, and education 1-4 3, 5-7, 14

including clinical status, progress and prognosis,

processes of care, facilitation of autonomy, self care

and health promotion.

Physical Pain management, help with activities of daily living, 13-16 13

surroundings and hospital environment.

Overall Overall satisfaction with services. 17 15







4

Crown Company Monitoring Advisory Unit (2000) New Zealand Public Hospital and Health

Services: Patient Satisfaction Survey Guidelines, CCMAU.





174 DHB Hospital Benchmark Information: December 2009

Appendix IV: Calculation of Confidence Intervals

Confidence intervals are given for most of the comparative bar charts in this report

(Figures 1 to 16). They are included to demonstrate the degree of inherent

uncertainty in the results that stems from consideration of statistical theories of

probability.



Three kinds of confidence interval are used in this report:



1. Patient Satisfaction: Results are averages based on a sample of

patients taken from the total patient population. The confidence intervals

express the bounds between which the true satisfaction level of the total

population is likely to lie, based on factors like sample size and the spread

of results in the sample.

2. ALOS: The result is an average from a total population. The confidence

intervals treat this as a sample within time. This might be expressed as

“the bounds between which the true ALOS is likely to lie when measured

over a long time”.

3. Other performance measures: These measures are rates, based on

total populations. As with ALOS, the confidence intervals treat this as a

sample within time. This might be expressed as “the bounds between

which the true rate is likely to lie when measured over a long time”.



Of course, both the latter two approaches assume a static universe in which

conditions do not vary from one quarter to the next, so that one can postulate a ‘true’

ALOS, or ‘true’ rate. While this assumption is false (many performance measures

show seasonal variations, for instance), it allows an estimate to be made of inherent

uncertainties due to random variation.



The effort made here to estimate confidence intervals does not address many other

possible causes of uncertainty about the precision or accuracy of results. In some

cases these other factors may be more significant than probabilistic uncertainty.

Examples of significant sources of uncertainty could include:

 variability in the recording of data at hospital level

 variations between DHBs in the interpretation of measure definitions

 In the case of patient satisfaction, sampling bias may be introduced since the

response rate to the questionnaires is sometimes low.



The calculations used to derive confidence intervals are as follows.



For patient satisfaction 5:



The sample is assumed to be random, though it is acknowledged that survey

guidelines also allow from stratified random sampling.









5

This methodology is discussed at URL: http://www.childrens-mercy.org/stats/size/population.asp

(last accessed 22 August 2008)





DHB Hospital Benchmark Information: December 2009 175



Upper confidence limit = x  1.96   N  n



 n N 1





Lower confidence limit = x 1.96   N  n

 

 n N 1



Where: x = patient satisfaction result

 = standard deviation of sample

n = sample size

N = size of total patient population



For ALOS:



Upper confidence limit = x  1.96 







 n





Lower confidence limit = x 1.96  

 

 n



Where: x = patient satisfaction result

 = standard deviation of ALOS at DRG level (calculated

as for a sample)

n = sample size



For rate-based measures 6:



r 1

Upper confidence limit =

 

r  1   (n  r)

 F ,2(r 1),2(nr ) 





r

Lower confidence limit =

r  (n  r  1)F ,2(nr 1),2r



Where: r = value of the numerator for the rate

n = value of the denominator for the rate

F, = inverse of the F probability distribution, given that:

 = 0.025 (for 95 percent confidence intervals)

 = degrees of freedom in the numerator

 = degrees of freedom in the denominator









6

Armitage, P, Berry, G, (1994), Statistical Methods in Medical Research, 3rd Ed., Blackwell, Oxford,

p. 121.





176 DHB Hospital Benchmark Information: December 2009