Scorecard and Indicator Review

1. Scorecard and Indicator Review Key Performance Indicators February 2004

2. Overview • Trends emerging in some KPIs • Most hospitals are providing data for established KPIs • Some difficulties are clearly being experienced with new KPIs • Scorecard approach now appears well accepted KPI Collection – February 2004 Review

3. Scorecard • Most hospitals are able to use the Excel version • Issues: • Information Notes to be updated • Mortality data will be added • % Transferred to Bed within Target Time – Data for previous years is incorrect • Work in progress: Adding an “all-Hospitals” Chart (in place of table currently provided) KPI Collection – February 2004 Review

4. Data Issues • Out of Range Results • 311 Sirius (updated), Electra • 511, 512 Aphrodite • 631 – OccupancyA number of hospitals provided total available beds (whereas unoccupied beds were requested) for 6312These have been manually calculated now KPI Collection – February 2004 Review

5. Benchmarks? What should be the benchmarks be for: • 621 – Payroll Cost attributed to Inpatients • 631 - Occupancy Level KPI Collection – February 2004 Review

6. Definitions • 521,522 TurnoverThe formula used for the past two collection periods is:[Numerator/6]/DenominatorExplanation – we still wish to show the equivalent to a month snapshot. The 6 month collection is purely to ‘flatten out’ any monthly variations. • 531, 532 Workers compensation claims In this case the formula is:[Numerator/6]Explanation – we still wish to show the equivalent to a month snapshot. The 6 month collection is purely to ‘flatten out’ any monthly variations. In the case of Claims it was felt that the raw figure (Numerator) was useful irrespective of its relationship to totals staff numbers. KPI Collection – February 2004 Review

7. Some Observations • 212 Cancellation by Hospital AFTER admission has remained at a consistent 5% for 5 periods (2 ½ Years) • 311 Readmissions to ICU jumped up this collection with some high results pulling up the mean. • 411 Patient DeathsIncluded again – comment? • 431 Returns to OTAlso increasing – apparently not attributable to burns units KPI Collection – February 2004 Review

8. Some Observations (ctd) • 441 – Returns to OTNumber of patient returns is increasing. Only one of the hospitals with ‘high’ results is a major burns centre (Cougar) • 521&2 Staff Turnover Providing consistent mean results • 611 Operating CostsDoes $3115 per episode sound like a valid mean cost? KPI Collection – February 2004 Review

9. Definitions:

10. Emergency Dept. KPI Collection – February 2004 Review

11. Wait List KPI Collection – February 2004 Review

12. Re-Admission to ICU KPI Collection – February 2004 Review

13. Clinical Quality KPI Collection – February 2004 Review

14. Work Force KPI Collection – February 2004 Review

15. Business KPI Collection – February 2004 Review