Role of Public Accountability Mechanisms

853 views
744 views

Published on

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

  • Be the first to like this

No Downloads
Views
Total views
853
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
5
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Role of Public Accountability Mechanisms

  1. 1. The Role of public accountability mechanisms Taming the Queue Conference 29 March 2012 Chris Baggoley Chief Medical OfficerAustralian Government Department of Health and Ageing
  2. 2. AUSTRALIAN CHARTER OFHEALTHCARE RIGHTS
  3. 3. Elective Surgery Performance Elective Surgery Plan separations – Final Period Jul to Dec 2010 – Target 311,860 – Achievement 331,992 – % over target 6.5% Source: Commonwealth Reform Commission Report - Period 3 independent assessment Performance – 2006-07 to 2010-11 2006-07 2010-11 ChangeAdmissions 556,770 620,783 +64,013Waiting TimesMedian wait 32 days 36 days + 4 days X90th percentile 226 days 252 days + 26 days X% > 365 days 3.1% 2.9% - 0.2%Source: Australian Institute of Health and Welfare, Australian Hospital Statistics 2010-11
  4. 4. Demand for Emergency DepartmentsAustralian EDs are facing National ED presentations vs Population (% change over 2004-05) rising demand, well above rates of 45.00% population growth: Percent change over 2004-05 40.00% 35.00%• In 2004-05, there were 30.00% 4.3 million 25.00% presentations to EDs. 20.00% By 2010-11, this had 15.00% risen to 6 million – an 10.00% increase of nearly 40% 5.00% over 5 years. 0.00%• Over the same period, 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 population growth was Year 10%. Growth Total emergency visits (over base year) Growth Population (over base year) Sources: AIHW Australian Hospital Statistics publications, 2004-05 to 2010-11; and Australian Bureau of Statistics 3101.0 Demographic Statistics Table 2. Population Change
  5. 5. Australian Emergency Departments: Triage Category Performance % presentations treated within recommended times, Australia The goal of the ‘Taking 100% 95% Pressure Off Public 90% Hospitals’ agreement is to Improvement 85% required to hit 80% raise the National Average% presentations 80% 75% to 80% by 2012-13. 70% 65% Sources: Australian Hospital Statistics 60% 2002-03 to 2009-10, produced by the Australian Institute of Health and 55% Welfare. 50% 3 4 5 6 7 8 9 0 2 3 2-0 3-0 4-0 5-0 6-0 7-0 8-0 9-1 1-1 2-1 200 200 200 200 200 200 200 200 201 201 National Average (all Cats)
  6. 6. Four hour length of stay2006-07 to 2009-10 by Jurisdiction Source: Expert Panel Review of Elective and Emergency Access Targets under the National Partnership Agreement in Improving Public Hospital Services: Supplementary Annexure. Report to COAG: August 2011 p.46
  7. 7. Monthly performance against the Four HourRule Program in Western Australia **July 2008 – April 2011
  8. 8. Data in Queensland Use of statistical process control charts Using routine data Starting point for learning and subsequent action to improve quality of care Duckett, S. et al, MJA, 19 November 2007
  9. 9. Queensland Health Annual Report 2007-08
  10. 10. MyHospitals• Myhospitals presents information on hospitals throughout Australia and how they compare against national and state and territory data, including: – Hospital profile – Services offered – Number of admissions – Waiting times for emergency departments and elective surgery – Safety and quality (Staphylococcus aureus bacteraemia; hand hygiene) Visit the MyHospitals website at: http://www.myhospitals.gov.au/

×