Your SlideShare is downloading. ×
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Denis O'Leary - Ballarat Base Hospital - How Data Has Been Used to Optimise the Surgical Patient Journey

378

Published on

Denis O'Leary delivered the presentation at the 2014 Operating Theatre Management Conference. …

Denis O'Leary delivered the presentation at the 2014 Operating Theatre Management Conference.

Focusing on strategies for implementing the National Safety and Quality Health Service Standards and the importance of communication to improve patient safety and clinical practice, the 2014 Operating Theatre Management Conference brought together operating room management and perioperative professionals to review current initiatives across the country.

For more information about the event, please visit: http://bit.ly/optheatremgmt14

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
378
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
12
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Denis O’Leary doleary.aus@gmail.com How Data has been Used to Optimise the Surgical Patient Journey
  • 2. Knowing how we are doing Well Organised Theatre Scheduling Team Working Booking Preadmission The Perfect Pathway The Perfect Surgical Pathway - Framework Changing Culture Creating Certainty Sustainability
  • 3. Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect Pathway Together we can do It “Changing Culture Creating Certainty”Sustainability The Perfect Surgical Pathway - Framework
  • 4. Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect ListKnowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Spread Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List
  • 5. Surgical Patient Pathway
  • 6. GP GP Stage Elective Elective Surgical Patient Model of Care Elective Stream A Few Frustrations • Lost paperwork • Variation in information • Access issues • Patients frustrations
  • 7. GP GP Stage Elective Elective Surgical Patient Model of Care Elective Stream Standard Referral Forms
  • 8. GP Specialist Preadmission Outpatient OPD Stage GP Stage Elective Elective Surgical Patient Model of Care Elective Stream
  • 9. GP Specialist Preadmission Outpatient OPD Stage GP Stage Elective Elective Surgical Patient Model of Care Elective Stream Each individual Health Service and sites within Health Services have in place different systems, processes and paper work associated with the implementation of the Elective Surgery Access Policy
  • 10. Open Access Endoscopy Cat 1 –Outpatients Cat 2/3 - Outpatients Private Patients from Rooms Urology Process Request for referral Health Questionnaire Consent Inconsistent policies Variation Standardised Practices
  • 11. Frustrations • Lost paperwork • Health questionnaires not matched up • Private patients different process • Endoscopy open access different process • Patients frustrations
  • 12. This form can range anywhere from 1 to 16 pages depending on the Health Service
  • 13. Paper Work a Surgical Patient Gets
  • 14. Pack or diary is to be handed to each patient prior to placement onto the Waiting List. The information pack will be made available for consultant rooms along with the booklet containing the request for referral, consent and health questionnaire
  • 15. Up to 40% of elective patients who are given a date for surgery have their date changed
  • 16. GP Specialist Preadmission Outpatient OPD Stage GP Stage Elective Adm Ward Elective Surgical Patient Model of Care Elective Stream
  • 17. GP Specialist Preadmission Outpatient Surgical StageOPD Stage GP Stage Elective Adm Ward Elective Sessions Elective Surgical Patient Model of Care Elective Stream
  • 18. GP Specialist Preadmission Outpatient Surgical StageOPD Stage GP Stage Elective Adm Ward Elective Sessions Elective Surgical Patient Model of Care Elective Stream On the Day Cancellations can range anywhere from 1 – 16%
  • 19. Week
  • 20. GP Specialist Preadmission Outpatient Surgical StageOPD Stage GP Stage Elective Emergency Emergency Dept. Triage Decision to Admit Adm Ward Elective Sessions Elective Surgical Patient Model of Care Elective Stream Emerg Stream
  • 21. GP Specialist Preadmission Outpatient Surgical StageOPD Stage GP Stage Elective Emergency Emergency Dept. Triage Decision to Admit Adm Ward Ward Elective Sessions Elective Surgical Patient Model of Care Elective Stream Emerg Stream
  • 22. Hip Fracture
  • 23. GP Specialist Preadmission Outpatient Surgical StageOPD Stage GP Stage Elective Emergency Emergency Dept. Triage Decision to Admit Adm Ward Ward Surgical Stage Elective Sessions Elective & Emergency Sessions Elective Surgical Patient Model of Care Elective Stream Emerg Stream Elective & Emergency Streams Merge Merged Streams
  • 24. Unit of Activity Contact Hours = Anaesthesia Start Time - Surgery End Time One contact hour equivalent to one WIES Data Knowing how we are doingWell Organised Theatre Scheduling Team Working Booking Preadmission The Perfect List Knowing how we are doing Knowing how we are doingWell Organised Theatre Well Organised Theatre SchedulingScheduling Team Working Team Working BookingBooking Preadmission The Perfect List
  • 25. Weekly Contact Hours - Jan - 09 - May - 10 50.00 100.00 150.00 200.00 250.00 300.00 350.00 W eek 2 W eek 5 W eek 8W eek 11W eek 14W eek 17W eek 20W eek 23W eek 26W eek 29W eek 32W eek 35W eek 38W eek 41W eek 44W eek 47W eek 50W eek 53W eek 56W eek 59W eek 62W eek 65W eek 68W eek 71W eek 74 Specialty (All) Surgery Day (All) Theatre (All) Op. Month (All) Hour Surgery Start (All) Sum of Contact Hours Week Note the increase in the contact hours – 12 week moving average would indicate that this is not a one off Contact Hours per week – Monday to Friday excluding Cardiology & Radiology
  • 26. Speciality Allocated Hours - 44 Weeks Contact Hours used within Normal Hours % Allocated Contact Hours used Elective Other Emergency within Allocated Hours % Elective in allocated contact hours % Emergency done within contact hours Emergency outside Normal Hours - Weekdays Emergency Weekends Gen Surg 2,530 2,162 85.5% 1,582 180 400 63% 18.5% 453 302 Orthopaedics 1,914 1,919 100.3% 1,349 36 534 70% 27.8% 429 597 Obs& Gynae 1,562 1,508 96.5% 1,308 47 153 84% 10.1% 400 224 Plastics 1,408 1,178 83.7% 909 35 234 65% 19.9% 226 406 Vascular 1,232 1,102 89.4% 992 20 90 81% 8.2% 106 91 Urology 1,188 1,008 84.8% 986 11 11 83% 1.1% 66 19 Gastro/C.Rectal 1,452 860 59.2% 219 509 132 15% 15.3% ENT 308 231 74.9% 222 1 8 72% 3.5% 14 2 Miscellaneous 1,056 550 52.1% 516 7 27 49% 4.9% 96 80 12,650 10,518 83.1% 8,083 846 1,589 64% 15.1% 1,790 1,721 Actual Contact Hours -within allocated Elective Hours Allocated Hours Contact Hr Used Elective & Emergency Contact Hr Used Emergency in or out of hours Speciality
  • 27. Cancellation Wating List High/Low Increasing Beds Speciality Elective Emergency Blank WL Cancellation Rate on DOS <500 >500 WL Inc/Dec Elective Emergency Other Total Beds Gen Surg 2,259 2,214 166 15% 358 -200 13.8 15.3 1.3 30.3 Orthopaedics 1,460 2,399 71 15% 607 150 8.2 18.0 0.3 26.5 Obs& Gynae 1,263 932 56 5% 179 -100 5.9 6.7 0.3 12.9 Plastics 940 1,242 56 1% 214 295 -20 2.1 2.2 0.1 4.4 Vascular 1,018 726 39 15% 310 13 50 6.7 6.6 0.3 13.6 Urology 1,002 149 10 19% 489 22 -50 3.4 1.8 0.0 5.2 Gastro/C.Rectal 379 837 497 1,159 1.6 9.9 11.1 22.6 ENT 220 180 1 7% 203 0 0.8 0.6 1.4 Miscellaneous 479 440 109 44 1.9 2.9 0.1 4.9 9,020 9,119 1,005 44.2 64.0 13.5 121.7 Actual WIES Waiting List Beds CancellationsWIES Speciality
  • 28. ElectiveElective Stream Emergency Stream Stream Proposed Elective Surgical Patient Model of Care Aim: To clearly separate the Preoperative Elective & Emergency patients stream
  • 29. GP Specialist Preadmission Outpatient Surgical StageOPD Stage GP Stage Emergency Dept. Triage Decision to Admit Adm Ward Emer Beds Surgical Stage Elective Sessions Emergency Sessions • Obstetrics • General Surgery • Orthopaedic • Emergency ElectiveElective Stream Emergency Stream Stream Proposed Elective Surgical Patient Model of Care Aim: To clearly separate the Preoperative Elective & Emergency patients stream
  • 30. The Need for Change Reporting Period: 1/9/2012 – 30/9/2012 Same process undertaken at another Health Service
  • 31. The Result of Change Reporting Period: 1/10/2012 – 31/10/2012
  • 32. GP Specialist Outpatient Preadmission Specialist Outpatient Surgical StageOPD Stage GP Stage Emergency Dept. Triage Decision to Admit Adm Ward 8 Emer Beds Surgical Stage Home Post Op. Ward Post Op. Ward Outpatient Specialist Elective Sessions Emergency Sessions • Obstetrics • General Surgery • Orthopaedic • Emergency ElectiveElective Stream Elective & Emergency Streams Merge Elective & Emergency Streams MergeEmergency Stream Stream Proposed Elective Surgical Patient Model of Care Aim: To clearly separate the Preoperative Elective & Emergency patients stream OPD Stage OPD Stage
  • 33. Theatre Contact Hour
  • 34. Examples of How Contact Hours Might be Used
  • 35. Need to consider the context relating to the Health Service Normal Working Hours – Monday - FridayMetro
  • 36. Need to consider the context relating to the Health Service The data for this site would indicate there is capacity to do additional procedural work within hours Normal Working Hours – Monday - FridayRural
  • 37. Contact Hour by Day – Time Period – Year 12 -13 Useful to look at how much work is being done Out-of-hours and balance in terms of AM and PM hours
  • 38. When investigated a “start on time” issue was determined Lists under booked Surgeon Performance This type of data can be made available annual performance review meetings
  • 39. Surgeon Data Broken Down Start Time
  • 40. Theatre Contact Hours per Day by Operating Room
  • 41. Can be used to determine how many contact hours will be made available when employing a full time anaesthetist Anaesthetist Contact Hours
  • 42. Theatre Contact Hours per Week – look for minimal variance
  • 43. Ideally work undertaken after 17:00 should be less than 10%
  • 44. Contact Hours can be used on a Weekly Basis to Monitor projected Activity
  • 45. Contact Hours can be used on a Weekly Basis to Monitor projected Activity
  • 46. Contact Hour • Year, Month, Week, Day & Time of Day • per session • Capacity per Theatre • Funded Capacity • Income per Contact Hour • per Anaesthetist • per Surgeon By using contact hour you can describe the business you are in and bridge the gap in understanding between front line clinicians and administrators
  • 47. Relationship to WIES & Theatre Contact Hour When a patient is discharged a Diagnostic Related Group (DRG) is allocated to that admission. For each DRG there is WIES allocation. So for each surgical admission there is a record of the Contact Hour associated with the surgical procedure(s) and the WIES generated during that admission. WIES Payment 13 – 14 - $4,411
  • 48. Benchmarking WIES per Contact Hour
  • 49. WIES Payment 13 – 14 - $4,411
  • 50. Activity Cost for Surgery
  • 51. Stream
  • 52. GP Stream GP Stage
  • 53. GP Specialist Preadmission Outpatient OPD Stage GP Stage
  • 54. GP Specialist Waiting List/Booking Outpatient Preadmission Admission Procedure In Patient Post Procedure Care Outpatient Stream Surgical StageOPD Stage GP Stage
  • 55. GP Specialist Outpatient Waiting List/Booking Outpatient Preadmission Admission Procedure In Patient Post Procedure Care Specialist Outpatient Stream OPD StageSurgical StageOPD Stage GP Stage
  • 56. GP Specialist Outpatient Waiting List/Booking Outpatient Preadmission Admission Procedure In Patient Post Procedure Care Specialist Outpatient Stream Medicare OPD StageSurgical StageOPD Stage GP Stage
  • 57. GP Specialist Outpatient Waiting List/Booking Outpatient Preadmission Admission Procedure In Patient Post Procedure Care Specialist Outpatient Stream Outpatient PaymentMedicare OPD StageSurgical StageOPD Stage GP Stage
  • 58. GP Specialist Outpatient Waiting List/Booking Outpatient Preadmission Admission Procedure In Patient Post Procedure Care Specialist Outpatient Stream WIES Payment Outpatient PaymentMedicare OPD StageSurgical StageOPD Stage GP Stage
  • 59. GP Specialist Outpatient Waiting List/Booking Outpatient Preadmission Admission Procedure In Patient Post Procedure Care Specialist Outpatient Stream WIES Payment Outpatient Payment Outpatient PaymentMedicare OPD StageSurgical StageOPD Stage GP Stage
  • 60. Waiting List/Booking Outpatient Admission Procedure In Patient Post Procedure Care Stream WIES Payment Productivity is the ratio of output to inputs in production; it is an average measure of the efficiency of production. Efficiency of production means production’s capability to create incomes which is measured by the formula real output value minus real input value. Contact Hour Productivity Surgical Stage
  • 61. Waiting List/Booking Outpatient Admission Procedure In Patient Post Procedure Care Stream WIES Payment Productivity is the ratio of output to inputs in production; it is an average measure of the efficiency of production. Efficiency of production means production’s capability to create incomes which is measured by the formula real output value minus real input value. Contact Hour Productivity WIES = Contact Hour Surgical Stage
  • 62. Waiting List/Booking Outpatient Admission Procedure In Patient Post Procedure Care Stream WIES Payment Productivity is the ratio of output to inputs in production; it is an average measure of the efficiency of production. Efficiency of production means production’s capability to create incomes which is measured by the formula real output value minus real input value. Contact Hour Productivity WIES = Contact Hour Payment = Cost Surgical Stage COST
  • 63. Waiting List/Booking Outpatient Admission Procedure In Patient Post Procedure Care Stream WIES Payment Productivity is the ratio of output to inputs in production; it is an average measure of the efficiency of production. Efficiency of production means production’s capability to create incomes which is measured by the formula real output value minus real input value. Contact Hour Productivity WIES = Contact Hour Payment = Cost Payment = Contact Hour Surgical Stage COST
  • 64. How do we Calculate Surgical Stage Cost?
  • 65. Waiting List/Booking Outpatient Admission Procedure In Patient Post Procedure Care Stream Contact Hour Surgical Stage COST
  • 66. Waiting List/Booking Outpatient Admission Procedure In Patient Post Procedure Care Stream Contact Hour Cost Components Surgical Stage COST
  • 67. Nursing Salaries Medical Salaries Consultants Salaries Registrar Salaries Intern Salaries Theatre Technicians Consultant Anaesthetist Theatre Technicians Porters Patient Service Assistants Cleaners Consumables Prostheses Superannuation Leave Workcover Pathology Radiology Printing CSSD Example of Costs Cost expenditure aggregated into cost centres based on Craft Groups & Location – in those Centres - costs split into Salaries – Non Salaries
  • 68. General Ledger
  • 69. All the Cost Centres associated with Surgical Stage 12 – 13 Wards Not all of these Costs can be directly attributable to the Surgery Stream – for example Sessional Surgery – 25% of costs should be attributed to Outpatients
  • 70. Determining Cost per Hour for Surgical Stage
  • 71. Raw Extract of Cost Centre & Accounts relating to the Surgical Stream See next few Slides for Derived Fields
  • 72. Activity Where and by whom the Costs have occurred Activity
  • 73. Wards
  • 74. Theatre Cost per Hour = Actual Cost Theatre Hours
  • 75. Example: Cost per Hour
  • 76. $53,315,750 11,014 = $4,840 12,087 11,014 = 1.097 $53,315,740 $45,212,470 = 1.179
  • 77. Need to factor in overhead(s) WIES Payment 13 – 14 - $4,411
  • 78. Cost ($$$) Activity (Contact hrs.) Income (WIES)
  • 79. doleary.aus@gmail.com

×