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Hospital Quarterly January to March 2016 Performance Profiles Emergency Department Hunter New England Local Health District

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Page 1: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Hospital Quarterly

January to March 2016

Performance ProfilesEmergency DepartmentHunter New England Local Health District

Page 2: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Arm

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Armidale and New England Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Armidale and New England Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

4,266 patients

4,050 patients

4,026

3,871

6%

5%

223

8 minutes

47 minutes

8 minutes

35 minutes

972

21 minutes

78 minutes

20 minutes

99 minutes

2,321

29 minutes

131 minutes

26 minutes

137 minutes

348

19 minutes

111 minutes

23 minutes

135 minutes

255 patients

8 minutes

57 minutes

1,232 patients

26 minutes

107 minutes

2,201 patients

36 minutes

185 minutes

355 patients

19 minutes

166 minutes

4,266 patients

82%

4,026 6%

87%

Page 3: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Armidale and New England Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

4,266 patients

24,050 patients

4,026 6%

3,871 5%

7 (0%)

255 (6%)

1,232 (30%)

2,201 (54%)

355 (9%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

7

223

972

2,321

348

0%

14%

27%

-5%

2%

0

1,000

2,000

3,000

4,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

5 < 5 17 5 7 7

171 189 241 208 223 255

658 712 946 914 972 1,232

1,533 1,762 1,899 2,106 2,321 2,201

1,382 1,035 523 440 348 355

3,749 3,698 3,626 3,673 3,871 4,050

392 patients ** 366 **

6 minutes

69 minutes

7 minutes -1 minute

43 minutes 26 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

(**) Interpret with caution: total ambulance arrivals include more than 30% of records for which transfer of care time cannot be calculated.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

Page 4: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

255

255

8 minutes

57 minutes

223

219

8 minutes

47 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

6 8 8 8 8 8

38 35 38 37 47 57

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 5: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Arm

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Hu

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Lo

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

1,232

1,195

26 minutes

107 minutes

972

937

21 minutes

78 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

17 19 19 19 21 26

78 79 84 76 78 107

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 6: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Arm

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1 h

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(C

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Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

2,201

2,004

36 minutes

185 minutes

2,321

2,163

29 minutes

131 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

27 27 29 29 29 36

113 118 141 121 131 185

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 7: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Arm

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Dis

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1 h

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(C

1)

Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

355

296

19 minutes

166 minutes

348

291

19 minutes

111 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

250

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

22 25 25 19 19 19

116 173 153 141 111 166

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 8: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Arm

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Dis

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1 h

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(C

1)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

4,266 patients

4,266 patients

1 hours and 58 minutes

6 hours and 7 minutes

4,026

4,026

1 hours and

39 minutes

5 hours and

42 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

1h 18m 1h 25m 1h 33m 1h 31m 1h 39m 1h 58m

5h 5m 5h 15m 5h 43m 5h 21m 5h 42m 6h 7m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 9: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Arm

idale

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En

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Ho

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Dis

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1 h

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(C

1)

Hu

nte

r N

ew

En

gla

nd

Lo

cal H

ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

4,266 patients

4,266 patients

3,069 (72%)

855 (20%)

266 (6%)

61 (1%)

15 (0%)

4,026 6%

3,023

751

180

52

20

2%

14%

48%

17%

-25%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

32% 60% 79% 90% 98% 99% 100% 100%

5% 15% 35% 55% 84% 94% 97% 98%

33% 64% 81% 92% 99% 100% 100% 100%

2% 2% 13% 28% 59% 80% 90% 92%

26% 51% 69% 82% 94% 98% 99% 99%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 10: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Arm

idale

an

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En

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Ho

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Dis

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1 h

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(C

1)

Hu

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ew

En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Armidale and New England Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

4,266 patients

4,266 patients

82%

4,026

4,026

87%

6%

6%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

90% 90% 87% 89% 87% 82%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Belmont Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Belmont Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

6,091 patients

6,007 patients

6,078

6,006

0%

0%

384

7 minutes

24 minutes

8 minutes

35 minutes

1,402

17 minutes

67 minutes

20 minutes

99 minutes

3,213

22 minutes

119 minutes

26 minutes

137 minutes

998

21 minutes

121 minutes

23 minutes

135 minutes

489 patients

7 minutes

15 minutes

1,334 patients

15 minutes

47 minutes

2,915 patients

19 minutes

95 minutes

1,264 patients

19 minutes

113 minutes

6,091 patients

76%

6,078 0%

72%

Page 12: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Belmont Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

6,091 patients

26,007 patients

6,078 0%

6,006 0%

5 (0%)

489 (8%)

1,334 (22%)

2,915 (49%)

1,264 (21%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

9

384

1,402

3,213

998

-44%

27%

-5%

-9%

27%

0

1,000

2,000

3,000

4,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

17 21 13 6 9 5

366 324 294 370 384 489

1,231 1,352 1,484 1,432 1,402 1,334

3,127 3,149 3,152 3,421 3,213 2,915

1,293 1,401 1,142 1,126 998 1,264

6,034 6,247 6,085 6,355 6,006 6,007

1,259 patients 1,325

10 minutes

25 minutes

11 minutes -1 minute

47 minutes -22 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

Page 13: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

489

486

7 minutes

15 minutes

384

383

7 minutes

24 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

6 6 7 8 7 7

27 21 21 23 24 15

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 14: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

1,334

1,309

15 minutes

47 minutes

1,402

1,363

17 minutes

67 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

20 18 18 17 17 15

93 86 85 73 67 47

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 15: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

2,915

2,516

19 minutes

95 minutes

3,213

2,752

22 minutes

119 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

28 31 24 23 22 19

150 146 127 122 119 95

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 16: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

1,264

976

19 minutes

113 minutes

998

722

21 minutes

121 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

31 37 29 27 21 19

153 167 136 127 121 113

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 17: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

6,091 patients

6,091 patients

2 hours and 26 minutes

8 hours and 34 minutes

6,078

6,078

2 hours and

34 minutes

9 hours and

53 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

5

10

15

20

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

2h 48m 2h 51m 2h 29m 2h 23m 2h 34m 2h 26m

9h 35m 9h 37m 8h 55m 9h 14m 9h 53m 8h 34m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 18: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

6,091 patients

6,091 patients

4,133 (68%)

919 (15%)

200 (3%)

229 (4%)

610 (10%)

6,078 0%

4,103

844

244

247

640

1%

9%

-18%

-7%

-5%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

17% 44% 65% 84% 93% 97% 98% 99%

0% 2% 8% 27% 56% 81% 90% 95%

38% 71% 84% 94% 98% 99% 100% 100%

6% 26% 41% 60% 75% 82% 87% 90%

21% 43% 59% 76% 88% 94% 97% 98%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 19: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Belm

on

t H

osp

ital

Dis

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osp

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(C

1)

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Belmont Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

6,091 patients

6,091 patients

76%

6,078

6,078

72%

0%

0%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

66% 66% 73% 73% 72% 76%

Page 20: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Calvary Mater Newcastle: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Calvary Mater Newcastle: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

9,180 patients

9,133 patients

8,684

8,603

6%

6%

1,213

9 minutes

38 minutes

8 minutes

35 minutes

2,027

21 minutes

88 minutes

20 minutes

99 minutes

3,999

28 minutes

133 minutes

26 minutes

137 minutes

1,329

30 minutes

139 minutes

23 minutes

135 minutes

1,214 patients

9 minutes

45 minutes

2,294 patients

21 minutes

75 minutes

4,423 patients

28 minutes

128 minutes

1,157 patients

28 minutes

153 minutes

9,180 patients

75%

8,684 6%

71%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Calvary Mater Newcastle: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

9,180 patients

29,133 patients

8,684 6%

8,603 6%

45 (0%)

1,214 (13%)

2,294 (25%)

4,423 (48%)

1,157 (13%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

35

1,213

2,027

3,999

1,329

29%

0%

13%

11%

-13%

0

1,000

2,000

3,000

4,000

5,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

80 41 39 40 35 45

913 1,014 1,231 1,112 1,213 1,214

1,686 2,020 1,999 1,964 2,027 2,294

3,527 3,566 3,759 3,864 3,999 4,423

1,693 1,531 1,453 1,343 1,329 1,157

7,899 8,172 8,481 8,323 8,603 9,133

2,490 patients 2,399

5 minutes

41 minutes

6 minutes -1 minute

64 minutes -23 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

Page 22: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(A

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

1,214

950

9 minutes

45 minutes

1,213

940

9 minutes

38 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

6 7 8 8 9 9

29 33 32 31 38 45

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 23: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(A

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

2,294

1,934

21 minutes

75 minutes

2,027

1,766

21 minutes

88 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

20 19 20 18 21 21

97 94 88 75 88 75

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 24: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(A

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

4,423

3,982

28 minutes

128 minutes

3,999

3,596

28 minutes

133 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

31 31 27 26 28 28

173 158 142 123 133 128

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 25: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(A

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Hu

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

1,157

955

28 minutes

153 minutes

1,329

1,096

30 minutes

139 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

33 35 30 26 30 28

182 190 164 131 139 153

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 26: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(A

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

9,180 patients

9,180 patients

2 hours and 42 minutes

9 hours and 2 minutes

8,684

8,684

2 hours and

41 minutes

9 hours and

47 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

5

10

15

20

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

2h 55m 2h 55m 2h 44m 2h 30m 2h 41m 2h 42m

12h 25m 12h 15m 11h 9m 10h 50m 9h 47m 9h 2m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 27: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Calv

ary

Mate

r N

ew

castle

Ungro

up

ed

acute

- t

ert

iary

refe

rral hosp

itals

(A

3)

Hu

nte

r N

ew

En

gla

nd

Lo

cal H

ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

9,180 patients

9,180 patients

4,319 (47%)

2,996 (33%)

387 (4%)

432 (5%)

1,046 (11%)

8,684 6%

4,175

2,796

375

469

869

3%

7%

3%

-8%

20%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

12% 41% 64% 85% 96% 98% 99% 100%

4% 11% 25% 50% 71% 84% 90% 93%

34% 60% 80% 91% 99% 100% 100% 100%

13% 33% 53% 72% 89% 93% 97% 98%

19% 37% 55% 75% 88% 94% 96% 98%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 28: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Calv

ary

Mate

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ew

castle

Ungro

up

ed

acute

- t

ert

iary

refe

rral hosp

itals

(A

3)

Hu

nte

r N

ew

En

gla

nd

Lo

cal H

ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Calvary Mater Newcastle: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

9,180 patients

9,180 patients

75%

8,684

8,684

71%

6%

6%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

64% 65% 67% 71% 71% 75%

Page 29: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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(C

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Cessnock District Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Cessnock District Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

4,283 patients

4,209 patients

4,219

4,122

2%

2%

243

7 minutes

32 minutes

8 minutes

35 minutes

900

20 minutes

69 minutes

20 minutes

99 minutes

2,150

35 minutes

119 minutes

26 minutes

137 minutes

829

39 minutes

145 minutes

23 minutes

135 minutes

267 patients

6 minutes

30 minutes

1,094 patients

19 minutes

63 minutes

2,138 patients

33 minutes

119 minutes

703 patients

34 minutes

112 minutes

4,283 patients

89%

4,219 2%

87%

Page 30: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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Dis

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2 h

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Cessnock District Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

4,283 patients

24,209 patients

4,219 2%

4,122 2%

7 (0%)

267 (6%)

1,094 (26%)

2,138 (51%)

703 (17%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

< 5

243

900

2,150

829

*

11%

22%

-1%

-15%

0

1,000

2,000

3,000

4,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

10 9 6 9 < 5 7

227 193 197 329 243 267

1,079 1,174 1,114 1,025 900 1,094

2,424 2,395 2,293 1,912 2,150 2,138

609 548 550 778 829 703

4,349 4,319 4,160 4,053 4,122 4,209

380 patients 406

10 minutes

29 minutes

13 minutes -3 minutes

58 minutes -30 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

Page 31: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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Ho

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Dis

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2 h

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(C

2)

Hu

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r N

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En

gla

nd

Lo

cal H

ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

267

266

6 minutes

30 minutes

243

235

7 minutes

32 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

5 5 5 6 7 6

32 30 21 30 32 30

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 32: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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Ho

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Dis

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2 h

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(C

2)

Hu

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r N

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En

gla

nd

Lo

cal H

ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

1,094

1,062

19 minutes

63 minutes

900

879

20 minutes

69 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

22 23 18 22 20 19

70 80 60 79 69 63

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 33: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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Ho

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Dis

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2 h

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(C

2)

Hu

nte

r N

ew

En

gla

nd

Lo

cal H

ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

2,138

1,961

33 minutes

119 minutes

2,150

1,969

35 minutes

119 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

32 32 28 37 35 33

112 119 103 138 119 119

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 34: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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Dis

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2 h

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

703

604

34 minutes

112 minutes

829

715

39 minutes

145 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

32 35 31 48 39 34

119 130 109 134 145 112

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 35: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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Dis

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(C

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Hu

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

4,283 patients

4,283 patients

1 hours and 18 minutes

5 hours and 57 minutes

4,219

4,219

1 hours and

24 minutes

7 hours and

3 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

1h 4m 1h 8m 1h 9m 1h 27m 1h 24m 1h 18m

5h 54m 6h 2m 6h 19m 6h 46m 7h 3m 5h 57m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 36: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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Ho

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Dis

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2 h

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(C

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Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

4,283 patients

4,283 patients

3,282 (77%)

466 (11%)

185 (4%)

127 (3%)

223 (5%)

4,219 2%

3,166

487

223

140

203

4%

-4%

-17%

-9%

10%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

41% 75% 88% 93% 97% 99% 99% 100%

3% 25% 45% 67% 82% 90% 92% 94%

37% 74% 87% 94% 97% 99% 99% 99%

8% 27% 46% 57% 80% 88% 94% 94%

38% 69% 83% 89% 95% 97% 98% 99%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 37: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Cessn

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Dis

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2 h

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(C

2)

Hu

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En

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nd

Lo

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ealth

Dis

tric

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Cessnock District Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

4,283 patients

4,283 patients

89%

4,219

4,219

87%

2%

2%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

91% 91% 90% 87% 87% 89%

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(C

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Gunnedah District Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Gunnedah District Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

2,094 patients

1,922 patients

1,989

1,983

5%

-3%

130

3 minutes

25 minutes

8 minutes

35 minutes

476

15 minutes

74 minutes

20 minutes

99 minutes

1,168

25 minutes

113 minutes

26 minutes

137 minutes

209

12 minutes

108 minutes

23 minutes

135 minutes

134 patients

5 minutes

37 minutes

430 patients

22 minutes

80 minutes

1,138 patients

30 minutes

113 minutes

220 patients

21 minutes

129 minutes

2,094 patients

91%

1,989 5%

91%

Page 39: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(C

2)

Hu

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Gunnedah District Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

2,094 patients

21,922 patients

1,989 5%

1,983 -3%

< 5

134 (7%)

430 (22%)

1,138 (59%)

220 (11%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

< 5

130

476

1,168

209

*

2%

-10%

-3%

5%

0

500

1,000

1,500

2,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

< 5 6 0 6 < 5 < 5

62 78 57 95 130 134

340 338 347 407 476 430

1,376 1,624 1,282 1,308 1,168 1,138

696 449 380 352 209 220

2,474 2,495 2,066 2,168 1,983 1,922

83 patients ** 113 **

9 minutes

*

10 minutes -1 minute

40 minutes *

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

(**) Interpret with caution: total ambulance arrivals include more than 30% of records for which transfer of care time cannot be calculated.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

Page 40: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Gu

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Dis

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2 h

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(C

2)

Hu

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En

gla

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Lo

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ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

134

128

5 minutes

37 minutes

130

127

3 minutes

25 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

10 6 5 4 3 5

* * * * 25 37

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 41: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Gu

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Dis

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2 h

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

430

419

22 minutes

80 minutes

476

467

15 minutes

74 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

21 15 13 9 15 22

104 95 79 60 74 80

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 42: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Gu

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Dis

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2 h

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

1,138

1,068

30 minutes

113 minutes

1,168

1,129

25 minutes

113 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

37 36 30 27 25 30

165 133 118 135 113 113

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

220

200

21 minutes

129 minutes

209

203

12 minutes

108 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

34 30 16 29 12 21

184 130 121 160 108 129

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 44: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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(C

2)

Hu

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

2,094 patients

2,094 patients

1 hours and 19 minutes

5 hours and 14 minutes

1,989

1,989

1 hours and

20 minutes

4 hours and

58 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

1h 9m 1h 12m 1h 4m 1h 15m 1h 20m 1h 19m

4h 8m 3h 57m 4h 4m 5h 45m 4h 58m 5h 14m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 45: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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2 h

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

2,094 patients

2,094 patients

1,673 (80%)

186 (9%)

85 (4%)

121 (6%)

29 (1%)

1,989 5%

1,608

200

68

108

5

4%

-7%

25%

12%

480%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

42% 76% 89% 93% 97% 99% 100% 100%

8% 32% 60% 79% 97% 99% 100% 100%

46% 84% 92% 99% 100% 100% 100% 100%

6% 26% 50% 69% 87% 91% 97% 98%

38% 70% 84% 91% 97% 98% 100% 100%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 46: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Gu

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Dis

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2 h

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(C

2)

Hu

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En

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Gunnedah District Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

2,094 patients

2,094 patients

91%

1,989

1,989

91%

5%

5%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

94% 95% 95% 89% 91% 91%

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Inverell District Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Inverell District Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

2,115 patients

1,994 patients

2,622

2,485

-19%

-20%

196

5 minutes

33 minutes

8 minutes

35 minutes

585

10 minutes

79 minutes

20 minutes

99 minutes

1,232

30 minutes

140 minutes

26 minutes

137 minutes

467

30 minutes

177 minutes

23 minutes

135 minutes

253 patients

5 minutes

25 minutes

639 patients

10 minutes

68 minutes

895 patients

20 minutes

95 minutes

207 patients

15 minutes

87 minutes

2,115 patients

90%

2,622 -19%

91%

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(C

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Inverell District Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

2,115 patients

21,994 patients

2,622 -19%

2,485 -20%

< 5

253 (13%)

639 (32%)

895 (45%)

207 (10%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

5

196

585

1,232

467

*

28%

9%

-27%

-56%

0

500

1,000

1,500

2,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

< 5 < 5 7 6 5 < 5

111 138 193 212 196 253

561 641 639 519 585 639

1,171 1,075 1,142 967 1,232 895

547 613 485 648 467 207

2,390 2,467 2,466 2,352 2,485 1,994

296 patients ** 242 **

6 minutes

28 minutes

5 minutes 2 minutes

20 minutes 8 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

(**) Interpret with caution: total ambulance arrivals include more than 30% of records for which transfer of care time cannot be calculated.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

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(C

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Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

253

244

5 minutes

25 minutes

196

196

5 minutes

33 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

5 5 3 5 5 5

120 60 40 28 33 25

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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(C

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Hu

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En

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Lo

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

639

618

10 minutes

68 minutes

585

573

10 minutes

79 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

250

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

30 20 15 10 10 10

150 108 85 73 79 68

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

895

816

20 minutes

95 minutes

1,232

1,150

30 minutes

140 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

43 30 35 30 30 20

155 119 125 121 140 95

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

207

190

15 minutes

87 minutes

467

415

30 minutes

177 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

40 25 32 27 30 15

135 127 140 125 177 87

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

2,115 patients

2,115 patients

1 hours and 29 minutes

5 hours and 30 minutes

2,622

2,622

1 hours and

20 minutes

5 hours and

4 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

1h 15m 1h 0m 1h 15m 1h 15m 1h 20m 1h 29m

4h 55m 4h 30m 4h 15m 4h 30m 5h 4m 5h 30m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

2,115 patients

2,115 patients

1,557 (74%)

399 (19%)

69 (3%)

54 (3%)

36 (2%)

2,622 -19%

2,089

351

95

53

34

-25%

14%

-27%

2%

6%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

41% 73% 87% 93% 98% 99% 100% 100%

7% 37% 64% 80% 92% 97% 99% 99%

45% 81% 93% 94% 99% 100% 100% 100%

0% 17% 33% 48% 61% 78% 93% 94%

34% 65% 82% 90% 96% 98% 99% 99%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Inverell District Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

2,115 patients

2,115 patients

90%

2,622

2,622

91%

-19%

-19%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

92% 93% 94% 93% 91% 90%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

John Hunter Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

John Hunter Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

19,359 patients

19,350 patients

18,902

18,893

2%

2%

1,826

7 minutes

28 minutes

8 minutes

35 minutes

5,137

22 minutes

105 minutes

20 minutes

99 minutes

9,709

33 minutes

156 minutes

26 minutes

137 minutes

2,089

38 minutes

170 minutes

23 minutes

135 minutes

1,906 patients

7 minutes

32 minutes

4,978 patients

23 minutes

104 minutes

9,755 patients

32 minutes

141 minutes

2,597 patients

36 minutes

157 minutes

19,359 patients

69%

18,901 2%

64%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

John Hunter Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

19,359 patients

219,350 patients

18,902 2%

18,893 2%

114 (1%)

1,906 (10%)

4,978 (26%)

9,755 (50%)

2,597 (13%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

132

1,826

5,137

9,709

2,089

-14%

4%

-3%

0%

24%

0

2,000

4,000

6,000

8,000

10,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

83 96 122 114 132 114

1,599 1,711 1,742 1,669 1,826 1,906

4,460 4,952 4,880 4,813 5,137 4,978

8,169 8,728 8,614 9,255 9,709 9,755

1,928 1,734 1,815 2,167 2,089 2,597

16,239 17,221 17,173 18,018 18,893 19,350

4,940 patients 5,140

11 minutes

29 minutes

11 minutes 0 minutes

32 minutes -4 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

1,906

1,890

7 minutes

32 minutes

1,826

1,812

7 minutes

28 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

7 7 6 7 7 7

27 29 32 32 28 32

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

4,978

4,874

23 minutes

104 minutes

5,137

5,031

22 minutes

105 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

22 23 22 20 22 23

116 138 121 103 105 104

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

9,755

9,093

32 minutes

141 minutes

9,709

8,895

33 minutes

156 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

250

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

31 34 33 27 33 32

215 210 190 137 156 141

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

2,597

2,163

36 minutes

157 minutes

2,089

1,700

38 minutes

170 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

250

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

32 43 37 30 38 36

237 239 198 157 170 157

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

19,359 patients

19,359 patients

3 hours and 11 minutes

8 hours and 31 minutes

18,902

18,901

3 hours and

26 minutes

9 hours and

9 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

5

10

15

20

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

4h 15m 4h 16m 4h 10m 3h 19m 3h 26m 3h 11m

11h 17m 10h 45m 11h 33m 9h 9m 9h 9m 8h 31m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

19,359 patients

19,359 patients

11,203 (58%)

6,595 (34%)

597 (3%)

56 (0%)

908 (5%)

18,901 2%

10,440

6,765

642

78

977

7%

-3%

-7%

-28%

-7%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

7% 29% 55% 78% 93% 98% 99% 100%

2% 9% 22% 47% 71% 86% 93% 96%

27% 55% 79% 92% 98% 99% 99% 100%

4% 9% 18% 29% 55% 75% 79% 82%

10% 26% 46% 69% 86% 94% 97% 98%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

John Hunter Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

19,359 patients

19,359 patients

69%

18,902

18,901

64%

2%

2%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

47% 47% 48% 65% 64% 69%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Kurri Kurri District Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Kurri Kurri District Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

1,257 patients

1,224 patients

1,639

1,604

-23%

-24%

90

4 minutes

*

8 minutes

35 minutes

255

13 minutes

137 minutes

20 minutes

99 minutes

958

19 minutes

124 minutes

26 minutes

137 minutes

301

15 minutes

113 minutes

23 minutes

135 minutes

83 patients

3 minutes

*

336 patients

10 minutes

47 minutes

583 patients

16 minutes

91 minutes

222 patients

15 minutes

103 minutes

1,257 patients

93%

1,639 -23%

90%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Kurri Kurri District Hospital: Patients arriving by ambulance

January to March 2016

ED Transfer of care time is not currently available for this hospital.7

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

1,257 patients

21,224 patients

1,639 -23%

1,604 -24%

< 5

83 (7%)

336 (27%)

583 (48%)

222 (18%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

< 5

90

255

958

301

*

-8%

32%

-39%

-26%

0

500

1,000

1,500

2,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

0 < 5 5 < 5 < 5 < 5

80 50 49 152 90 83

414 293 224 413 255 336

1,058 1,275 961 988 958 583

456 357 360 294 301 222

2,008 1,975 1,599 1,847 1,604 1,224

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

83

69

3 minutes

*

90

73

4 minutes

*

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

3 2 4 4 4 3

* * * 48 * *

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

336

246

10 minutes

47 minutes

255

209

13 minutes

137 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

10 9 8 12 13 10

50 92 50 87 137 47

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 69: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

583

389

16 minutes

91 minutes

958

763

19 minutes

124 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

16 16 15 18 19 16

105 96 98 114 124 91

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 70: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

222

178

15 minutes

103 minutes

301

254

15 minutes

113 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

11 10 10 11 15 15

85 80 104 85 113 103

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 71: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(C

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Hu

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En

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

1,257 patients

1,257 patients

0 hours and 53 minutes

4 hours and 52 minutes

1,639

1,639

1 hours and

0 minutes

5 hours and

22 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

0h 46m 0h 49m 0h 55m 1h 6m 1h 0m 0h 53m

4h 24m 4h 42m 5h 28m 5h 23m 5h 22m 4h 52m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

1,257 patients

1,257 patients

816 (65%)

29 (2%)

63 (5%)

48 (4%)

301 (24%)

1,639 -23%

1,205

54

81

58

241

-32%

-46%

-22%

-17%

25%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

51% 78% 90% 94% 98% 99% 100% 100%

7% 14% 31% 48% 86% 93% 100% 100%

71% 89% 92% 97% 100% 100% 100% 100%

31% 52% 71% 75% 92% 96% 96% 100%

56% 79% 89% 93% 98% 99% 100% 100%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Kurri Kurri District Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

1,257 patients

1,257 patients

93%

1,639

1,639

90%

-23%

-23%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

94% 94% 90% 90% 90% 93%

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Maitland Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Maitland Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

12,242 patients

12,091 patients

11,695

11,593

5%

4%

1,377

8 minutes

35 minutes

8 minutes

35 minutes

2,617

26 minutes

120 minutes

20 minutes

99 minutes

5,759

46 minutes

167 minutes

26 minutes

137 minutes

1,816

56 minutes

173 minutes

23 minutes

135 minutes

1,491 patients

8 minutes

28 minutes

2,830 patients

23 minutes

89 minutes

6,177 patients

39 minutes

138 minutes

1,575 patients

44 minutes

148 minutes

12,242 patients

76%

11,695 5%

68%

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Maitla

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(B

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Maitland Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

12,242 patients

212,091 patients

11,695 5%

11,593 4%

18 (0%)

1,491 (12%)

2,830 (23%)

6,177 (51%)

1,575 (13%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

24

1,377

2,617

5,759

1,816

-25%

8%

8%

7%

-13%

0

2,000

4,000

6,000

8,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

11 15 7 22 24 18

564 565 686 1,049 1,377 1,491

2,103 2,251 2,418 2,463 2,617 2,830

5,603 6,239 6,035 6,045 5,759 6,177

2,049 1,716 1,636 1,510 1,816 1,575

10,330 10,786 10,782 11,089 11,593 12,091

1,968 patients 2,152

9 minutes

27 minutes

10 minutes -1 minute

39 minutes -12 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

1,491

1,475

8 minutes

28 minutes

1,377

1,364

8 minutes

35 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

9 9 9 8 8 8

48 37 32 37 35 28

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

2,830

2,751

23 minutes

89 minutes

2,617

2,537

26 minutes

120 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

29 26 25 24 26 23

147 147 113 111 120 89

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

6,177

5,357

39 minutes

138 minutes

5,759

5,020

46 minutes

167 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

250

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

49 47 37 42 46 39

206 198 172 168 167 138

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

1,575

1,177

44 minutes

148 minutes

1,816

1,431

56 minutes

173 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

250

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

51 49 50 54 56 44

199 190 189 168 173 148

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

12,242 patients

12,242 patients

2 hours and 45 minutes

8 hours and 54 minutes

11,695

11,695

3 hours and

3 minutes

12 hours and

41 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

5

10

15

20

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

2h 54m 3h 6m 2h 58m 3h 1m 3h 3m 2h 45m

9h 36m 11h 28m 11h 0m 12h 33m 12h 41m 8h 54m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

12,242 patients

12,242 patients

8,147 (67%)

2,384 (19%)

409 (3%)

207 (2%)

1,095 (9%)

11,695 5%

7,600

2,353

607

265

870

7%

1%

-33%

-22%

26%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

9% 34% 60% 82% 93% 97% 98% 99%

1% 6% 16% 43% 62% 80% 88% 93%

31% 66% 82% 93% 97% 99% 99% 99%

6% 14% 23% 35% 57% 74% 81% 87%

15% 35% 55% 76% 87% 94% 96% 98%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Maitland Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

12,242 patients

12,242 patients

76%

11,695

11,695

68%

5%

5%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

66% 62% 69% 68% 68% 76%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Manning Base Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Manning Base Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

7,444 patients

7,342 patients

7,310

7,174

2%

2%

1,013

6 minutes

11 minutes

8 minutes

35 minutes

2,059

22 minutes

135 minutes

20 minutes

99 minutes

2,772

34 minutes

196 minutes

26 minutes

137 minutes

1,310

30 minutes

171 minutes

23 minutes

135 minutes

1,293 patients

7 minutes

27 minutes

2,106 patients

21 minutes

148 minutes

2,468 patients

30 minutes

210 minutes

1,444 patients

26 minutes

161 minutes

7,443 patients

71%

7,310 2%

76%

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Manning Base Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

7,444 patients

27,342 patients

7,310 2%

7,174 2%

31 (0%)

1,293 (18%)

2,106 (29%)

2,468 (34%)

1,444 (20%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

20

1,013

2,059

2,772

1,310

55%

28%

2%

-11%

10%

0

1,000

2,000

3,000

4,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

20 28 23 36 20 31

558 745 935 934 1,013 1,293

1,595 1,715 1,940 2,003 2,059 2,106

2,603 2,731 2,474 2,619 2,772 2,468

1,048 954 994 1,260 1,310 1,444

5,824 6,173 6,366 6,852 7,174 7,342

1,872 patients 1,957

6 minutes

58 minutes

6 minutes 0 minutes

49 minutes 9 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

Page 85: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

1,293

1,286

7 minutes

27 minutes

1,013

1,013

6 minutes

11 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

7 7 7 7 6 7

39 38 21 10 11 27

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 86: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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nin

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Majo

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(B

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

2,106

2,031

21 minutes

148 minutes

2,059

1,998

22 minutes

135 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

30 26 19 23 22 21

152 148 108 152 135 148

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 87: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Man

nin

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osp

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Majo

r hosp

itals

(B

)H

un

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New

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Lo

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ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

2,468

2,269

30 minutes

210 minutes

2,772

2,536

34 minutes

196 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

100

200

300

400

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

51 47 28 40 34 30

238 253 165 191 196 210

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 88: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Man

nin

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Majo

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itals

(B

)H

un

ter

New

En

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Lo

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ealth

Dis

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t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

1,444

1,272

26 minutes

161 minutes

1,310

1,150

30 minutes

171 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

100

200

300

400

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

44 46 26 34 30 26

252 262 170 183 171 161

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 89: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Man

nin

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osp

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Majo

r hosp

itals

(B

)H

un

ter

New

En

gla

nd

Lo

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ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

7,444 patients

7,443 patients

2 hours and 50 minutes

7 hours and 24 minutes

7,310

7,310

2 hours and

41 minutes

6 hours and

51 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

5

10

15

20

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

3h 16m 3h 39m 2h 34m 2h 42m 2h 41m 2h 50m

12h 49m 13h 24m 6h 23m 6h 20m 6h 51m 7h 24m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 90: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Man

nin

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osp

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Majo

r hosp

itals

(B

)H

un

ter

New

En

gla

nd

Lo

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ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

7,444 patients

7,443 patients

4,766 (64%)

1,898 (25%)

677 (9%)

65 (1%)

38 (1%)

7,310 2%

4,734

1,836

627

60

53

1%

3%

8%

8%

-28%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

16% 42% 64% 80% 95% 99% 100% 100%

1% 5% 20% 43% 74% 90% 96% 98%

33% 58% 75% 88% 98% 100% 100% 100%

3% 8% 25% 37% 58% 74% 82% 92%

14% 34% 54% 71% 89% 96% 99% 99%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 91: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Man

nin

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osp

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Majo

r hosp

itals

(B

)H

un

ter

New

En

gla

nd

Lo

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ealth

Dis

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t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Manning Base Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

7,444 patients

7,443 patients

71%

7,310

7,310

76%

2%

2%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

60% 55% 79% 78% 76% 71%

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Mo

ree D

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ict

Ho

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Dis

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(C

2)

Hu

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En

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Moree District Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Moree District Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

1,999 patients

1,785 patients

2,041

1,760

-2%

1%

159

2 minutes

24 minutes

8 minutes

35 minutes

480

4 minutes

35 minutes

20 minutes

99 minutes

966

4 minutes

50 minutes

26 minutes

137 minutes

155

4 minutes

52 minutes

23 minutes

135 minutes

167 patients

3 minutes

34 minutes

477 patients

7 minutes

66 minutes

1,049 patients

7 minutes

75 minutes

84 patients

9 minutes

*

1,999 patients

88%

2,041 -2%

92%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Moree District Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

1,999 patients

21,785 patients

2,041 -2%

1,760 1%

8 (0%)

167 (9%)

477 (27%)

1,049 (59%)

84 (5%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

< 5

159

480

966

155

*

7%

-1%

9%

-46%

0

500

1,000

1,500

2,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

5 < 5 6 < 5 < 5 8

82 131 166 100 159 167

299 400 471 448 480 477

1,735 1,326 941 1,080 966 1,049

288 147 83 100 155 84

2,409 2,004 1,667 1,728 1,760 1,785

222 patients 176 **

4 minutes

22 minutes

5 minutes -1 minute

21 minutes 1 minute

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

167

165

3 minutes

34 minutes

159

154

2 minutes

24 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

2 3 2 2 2 3

* 25 23 * 24 34

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

477

458

7 minutes

66 minutes

480

470

4 minutes

35 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

12 9 5 2 4 7

119 95 39 32 35 66

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

1,049

944

7 minutes

75 minutes

966

915

4 minutes

50 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

14 12 5 3 4 7

101 103 68 63 50 75

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

84

71

9 minutes

*

155

143

4 minutes

52 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

5 7 6 3 4 9

78 * * * 52 *

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

1,999 patients

1,999 patients

1 hours and 9 minutes

6 hours and 35 minutes

2,041

2,041

0 hours and

53 minutes

5 hours and

11 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

0h 47m 0h 55m 0h 49m 0h 54m 0h 53m 1h 9m

3h 57m 4h 45m 4h 39m 4h 34m 5h 11m 6h 35m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 99: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

1,999 patients

1,999 patients

1,551 (78%)

256 (13%)

86 (4%)

34 (2%)

72 (4%)

2,041 -2%

1,641

249

77

26

48

-5%

3%

12%

31%

50%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

51% 77% 89% 93% 98% 99% 99% 100%

4% 19% 42% 59% 80% 89% 93% 97%

48% 78% 97% 99% 100% 100% 100% 100%

0% 3% 6% 15% 35% 62% 76% 79%

45% 69% 82% 88% 94% 97% 98% 99%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Moree District Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

1,999 patients

1,999 patients

88%

2,041

2,041

92%

-2%

-2%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

95% 93% 93% 93% 92% 88%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Muswellbrook District Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Muswellbrook District Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

2,465 patients

2,330 patients

2,103

1,999

17%

17%

126

5 minutes

27 minutes

8 minutes

35 minutes

493

16 minutes

96 minutes

20 minutes

99 minutes

1,073

27 minutes

113 minutes

26 minutes

137 minutes

307

22 minutes

105 minutes

23 minutes

135 minutes

130 patients

6 minutes

40 minutes

527 patients

18 minutes

92 minutes

1,255 patients

34 minutes

125 minutes

418 patients

32 minutes

135 minutes

2,465 patients

89%

2,103 17%

86%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Muswellbrook District Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

2,465 patients

22,330 patients

2,103 17%

1,999 17%

< 5

130 (5%)

527 (23%)

1,255 (54%)

418 (18%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

< 5

126

493

1,073

307

*

2%

7%

17%

36%

0

500

1,000

1,500

2,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

< 5 < 5 < 5 < 5 < 5 < 5

77 101 121 129 126 130

436 501 415 423 493 527

1,010 1,025 807 871 1,073 1,255

379 367 358 308 307 418

1,902 1,994 1,701 1,731 1,999 2,330

409 patients 149 **

8 minutes

26 minutes

14 minutes -6 minutes

92 minutes -66 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

130

123

6 minutes

40 minutes

126

122

5 minutes

27 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

5 3 2 5 5 6

* * 65 62 27 40

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 104: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

527

493

18 minutes

92 minutes

493

468

16 minutes

96 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

20 11 12 17 16 18

160 88 115 105 96 92

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

1,255

1,149

34 minutes

125 minutes

1,073

957

27 minutes

113 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

25 27 23 23 27 34

146 119 112 119 113 125

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 106: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

418

365

32 minutes

135 minutes

307

258

22 minutes

105 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

21 20 16 15 22 32

120 112 103 108 105 135

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

2,465 patients

2,465 patients

1 hours and 31 minutes

6 hours and 30 minutes

2,103

2,103

1 hours and

27 minutes

6 hours and

35 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

1h 7m 1h 15m 1h 13m 1h 13m 1h 27m 1h 31m

5h 27m 6h 33m 6h 14m 5h 37m 6h 35m 6h 30m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

2,465 patients

2,465 patients

1,880 (76%)

286 (12%)

87 (4%)

91 (4%)

121 (5%)

2,103 17%

1,542

273

89

110

89

22%

5%

-2%

-17%

36%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

34% 68% 84% 92% 96% 98% 99% 100%

11% 34% 51% 78% 88% 94% 98% 99%

30% 59% 79% 92% 97% 100% 100% 100%

3% 21% 45% 58% 74% 84% 91% 95%

32% 62% 79% 89% 94% 97% 99% 99%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Muswellbrook District Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

2,465 patients

2,465 patients

89%

2,103

2,103

86%

17%

17%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

91% 88% 88% 90% 86% 89%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Narrabri District Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Narrabri District Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

1,411 patients

1,390 patients

1,366

1,358

3%

2%

82

3 minutes

*

8 minutes

35 minutes

451

10 minutes

55 minutes

20 minutes

99 minutes

518

14 minutes

65 minutes

26 minutes

137 minutes

307

10 minutes

75 minutes

23 minutes

135 minutes

110 patients

4 minutes

10 minutes

417 patients

14 minutes

52 minutes

560 patients

20 minutes

68 minutes

303 patients

12 minutes

84 minutes

1,411 patients

92%

1,366 3%

91%

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Narrabri District Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

1,411 patients

21,390 patients

1,366 3%

1,358 2%

< 5

110 (8%)

417 (30%)

560 (40%)

303 (22%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

< 5

82

451

518

307

*

34%

-8%

8%

-1%

0

200

400

600

800

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

0 < 5 < 5 < 5 < 5 < 5

40 69 80 62 82 110

433 457 360 371 451 417

560 452 558 503 518 560

201 142 178 371 307 303

1,234 1,120 1,176 1,307 1,358 1,390

72 patients ** 73 **

7 minutes

*

8 minutes -1 minute

* *

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

(**) Interpret with caution: total ambulance arrivals include more than 30% of records for which transfer of care time cannot be calculated.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

110

107

4 minutes

10 minutes

82

79

3 minutes

*

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

10

20

30

40

50

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

1 1 3 2 3 4

* * * * * 10

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

417

417

14 minutes

52 minutes

451

450

10 minutes

55 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

2 2 5 6 10 14

45 35 35 40 55 52

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

560

551

20 minutes

68 minutes

518

512

14 minutes

65 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

4 0 6 15 14 20

64 55 55 60 65 68

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

303

298

12 minutes

84 minutes

307

299

10 minutes

75 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

5 4 7 10 10 12

61 63 69 66 75 84

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

1,411 patients

1,411 patients

1 hours and 20 minutes

5 hours and 8 minutes

1,366

1,366

1 hours and

24 minutes

5 hours and

0 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

1h 15m 1h 9m 1h 6m 1h 7m 1h 24m 1h 20m

3h 55m 3h 55m 3h 25m 4h 3m 5h 0m 5h 8m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

1,411 patients

1,411 patients

1,148 (81%)

191 (14%)

35 (2%)

37 (3%)

0 (0%)

1,366 3%

1,077

217

27

38

7

7%

-12%

30%

-3%

-100%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

43% 78% 90% 96% 99% 100% 100% 100%

3% 27% 56% 76% 91% 98% 99% 100%

46% 74% 94% 97% 100% 100% 100% 100%

0% 3% 19% 32% 62% 78% 95% 97%

36% 69% 84% 92% 97% 99% 100% 100%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Narr

ab

ri D

istr

ict

Ho

sp

ital

Dis

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2 h

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(C

2)

Hu

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Narrabri District Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

1,411 patients

1,411 patients

92%

1,366

1,366

91%

3%

3%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

96% 95% 97% 95% 91% 92%

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Singleton District Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Singleton District Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

2,879 patients

2,811 patients

2,669

2,589

8%

9%

160

7 minutes

37 minutes

8 minutes

35 minutes

619

24 minutes

85 minutes

20 minutes

99 minutes

1,646

32 minutes

109 minutes

26 minutes

137 minutes

164

23 minutes

93 minutes

23 minutes

135 minutes

214 patients

8 minutes

40 minutes

758 patients

26 minutes

108 minutes

1,566 patients

41 minutes

136 minutes

273 patients

32 minutes

142 minutes

2,879 patients

91%

2,669 8%

93%

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(C

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Singleton District Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

2,879 patients

22,811 patients

2,669 8%

2,589 9%

< 5

214 (8%)

758 (27%)

1,566 (56%)

273 (10%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

< 5

160

619

1,646

164

*

33%

22%

-5%

66%

0

500

1,000

1,500

2,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

5 0 < 5 < 5 < 5 < 5

112 130 144 162 160 214

724 665 572 659 619 758

1,833 1,643 1,621 1,511 1,646 1,566

401 606 541 293 164 273

3,075 3,044 2,878 2,625 2,589 2,811

239 patients 254

7 minutes

17 minutes

6 minutes 1 minute

20 minutes -3 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

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(C

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Hu

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

214

202

8 minutes

40 minutes

160

158

7 minutes

37 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

7 9 9 8 7 8

44 42 31 39 37 40

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

758

724

26 minutes

108 minutes

619

604

24 minutes

85 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

21 21 23 24 24 26

86 82 88 83 85 108

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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Dis

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2 h

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

1,566

1,485

41 minutes

136 minutes

1,646

1,542

32 minutes

109 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

36 38 37 35 32 41

130 128 123 112 109 136

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

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Dis

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2 h

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

273

235

32 minutes

142 minutes

164

149

23 minutes

93 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

25 35 31 26 23 32

126 116 124 98 93 142

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 125: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

2,879 patients

2,879 patients

1 hours and 27 minutes

5 hours and 7 minutes

2,669

2,669

1 hours and

17 minutes

4 hours and

41 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

2

4

6

8

10

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

1h 7m 1h 11m 1h 11m 1h 17m 1h 17m 1h 27m

3h 37m 3h 36m 3h 31m 4h 35m 4h 41m 5h 7m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 126: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Sin

gle

ton

Dis

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osp

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Dis

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2 h

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(C

2)

Hu

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

2,879 patients

2,879 patients

2,343 (81%)

310 (11%)

95 (3%)

69 (2%)

62 (2%)

2,669 8%

2,202

288

51

64

64

6%

8%

86%

8%

-3%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

35% 74% 90% 96% 99% 99% 100% 100%

2% 16% 36% 58% 85% 94% 98% 99%

40% 74% 92% 98% 99% 100% 100% 100%

7% 25% 49% 65% 78% 87% 93% 94%

31% 66% 83% 91% 97% 99% 99% 100%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 127: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Sin

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Dis

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osp

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Dis

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2 h

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(C

2)

Hu

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En

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Lo

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Singleton District Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

2,879 patients

2,879 patients

91%

2,669

2,669

93%

8%

8%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

96% 96% 97% 93% 93% 91%

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Emergency department (ED) overview

January to March 2016

All attendances:1

Emergency attendances:2

Tamworth Base Hospital: Time from presentation to treatment 3

Same period

last year

Change since

one year ago

Same period

last year

NSW

(this period)

4

4

4

4

5

5

5

5

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns):

Median time to start treatment

95th percentile time to start treatment

Triage 3 Urgent (e.g. moderate blood loss, dehydration):

Median time to start treatment

95th percentile time to start treatment

Triage 4 Semi-urgent (e.g. sprained ankle, earache):

Median time to start treatment

95th percentile time to start treatment

Triage 5 Non-urgent (e.g. small cuts or abrasions):

Median time to start treatment

95th percentile time to start treatment

Tamworth Base Hospital: Time from presentation until leaving the ED

January to March 2016

Attendances used to calculate time to leaving the ED:6

Percentage of patients who

left the ED within four hours

Same period

last year

Change since

one year ago

* Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

Note: Presentation time is the earlier time recorded for clerical registration or the triage process. Treatment time is the earliest

time recorded when a healthcare professional provides medical care relevant to the patient’s presenting problems.

Source: Health Information Exchange, NSW Health (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 1 of 9

10,755 patients

9,952 patients

10,482

9,938

3%

0%

894

8 minutes

46 minutes

8 minutes

35 minutes

2,167

24 minutes

121 minutes

20 minutes

99 minutes

4,907

38 minutes

172 minutes

26 minutes

137 minutes

1,912

36 minutes

141 minutes

23 minutes

135 minutes

863 patients

9 minutes

55 minutes

2,486 patients

24 minutes

111 minutes

4,634 patients

39 minutes

137 minutes

1,925 patients

40 minutes

132 minutes

10,755 patients

73%

10,482 3%

69%

Page 129: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Patients attending the emergency department

January to March 2016

All attendances:1

Emergency attendances by triage category:

Same period

last year

Change since

one year ago

Emergency attendances by quarter, January 2011 to March 2016 2

Num

ber

of att

end

ances

Shaded areashows transitionto a new patientrecord system(if applicable)

Resuscitation

Emergency

Urgent

Semi-urgent

Non-urgent

All emergency attendances

Tamworth Base Hospital: Patients arriving by ambulance

January to March 2016

Arrivals used to calculate transfer of care time:7

ED Transfer of care time

Median time

95th percentile time

Same period

last year

Change since

one year ago

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 2 of 9

10,755 patients

29,952 patients

10,482 3%

9,938 0%

44 (0%)

863 (9%)

2,486 (25%)

4,634 (47%)

1,925 (19%)

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

58

894

2,167

4,907

1,912

-24%

-3%

15%

-6%

1%

0

1,000

2,000

3,000

4,000

5,000

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Resuscitation1

Emergency2

Urgent3

Semi-urgent4

Non-urgent5

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

60 77 48 62 58 44

784 935 887 909 894 863

2,030 2,193 2,485 2,160 2,167 2,486

3,825 4,145 4,439 4,461 4,907 4,634

3,592 2,199 2,176 2,054 1,912 1,925

10,291 9,549 10,035 9,646 9,938 9,952

1,586 patients 1,533

10 minutes

38 minutes

11 minutes -1 minute

56 minutes -18 minutes

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

( ) For some smaller NSW hospitals, transfer of care times reported in Hospital Quarterly are being assessed for data quality and

results should be interpreted with caution.

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(B

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ealth

Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Time from presentation to treatment, triage 2

January to March 2016

Triage 2 Emergency (e.g. chest pain, severe burns)

Number of triage 2 patients:

Number of triage 2 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 2 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 2 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 3 of 9

863

854

9 minutes

55 minutes

894

891

8 minutes

46 minutes

8 minutes

35 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

8 7 7 7 8 9

30 36 30 32 46 55

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 131: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(B

)H

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ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Time from presentation to treatment, triage 3

January to March 2016

Triage 3 Urgent (e.g. moderate blood loss, dehydration)

Number of triage 3 patients:

Number of triage 3 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 3 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 3 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 4 of 9

2,486

2,437

24 minutes

111 minutes

2,167

2,102

24 minutes

121 minutes

20 minutes

99 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

22 25 21 20 24 24

102 150 97 85 121 111

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 132: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Majo

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itals

(B

)H

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En

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ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Time from presentation to treatment, triage 4

January to March 2016

Triage 4 Semi-urgent (e.g. sprained ankle, earache)

Number of triage 4 patients:

Number of triage 4 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 4 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 4 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 5 of 9

4,634

4,444

39 minutes

137 minutes

4,907

4,612

38 minutes

172 minutes

26 minutes

137 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

250

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

46 53 40 31 38 39

191 230 192 144 172 137

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 133: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

Tam

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Majo

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itals

(B

)H

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En

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ealth

Dis

tric

t

More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Time from presentation to treatment, triage 5

January to March 2016

Triage 5 Non-urgent (e.g. small cuts or abrasions)

Number of triage 5 patients:

Number of triage 5 patients used to calculate waiting time:3

Median time to start treatment 4

95th percentile time to start treatment 5

Same period

last year

NSW

(this period)

Percentage of triage 5 patients who received treatment by time, January to March 2016

Patients

who

receiv

ed

tre

atm

ent(

%)

Minutes from presentation until treatment

NSW

This ED

Time from presentation until treatment (minutes) for triage 5 patients, January 2011 to March 2016

Tim

e in m

inute

s

Median

time to start

treatment

95th percentile

time to start

treatment

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to start treatment4

(minutes)

95th percentile time to start treatment 5

(minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 6 of 9

1,925

1,819

40 minutes

132 minutes

1,912

1,823

36 minutes

141 minutes

23 minutes

135 minutes

0%

20%

40%

60%

80%

100%

0 20 40 60 80 100 120 140 160 180 200 220 240 260 280

0

50

100

150

200

250

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

55 61 44 31 36 40

218 228 180 150 141 132

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 134: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Time from presentation until leaving the ED

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Median time to leaving the ED8

95th percentile time to leaving the ED9

Same period

last year

NSW

(this period)

Percentage of patients who left the ED by time, January to March 2016

This ED

NSW

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

Time from presentation until leaving the ED, by quarter, January 2011 to March 2016

Tim

e in h

ours

Median time to

leaving the ED

95th percentile

time to leaving

the ED

Shaded area

shows transition

to a new patient

record system

(if applicable)

Median time to leaving the ED 8

(hours, minutes)

95th percentile time to leaving the ED 9

(hours, minutes)

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 7 of 9

10,755 patients

10,755 patients

2 hours and 31 minutes

9 hours and 13 minutes

10,482

10,482

2 hours and

38 minutes

10 hours and

7 minutes

2 hours and

40 minutes

9 hours and

25 minutes

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

0

5

10

15

20

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar

2011 2012 2013 2014 2015 2016

2h 52m 3h 23m 2h 59m 2h 30m 2h 38m 2h 31m

9h 43m 11h 7m 9h 42m 8h 45m 10h 7m 9h 13m

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 135: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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(B

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Time from presentation until leaving the ED

By mode of separation

January to March 2016

All attendances:1

Attendances used to calculate time to leaving the ED:6

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

Other

Same period

last year

Change since

one year ago

Percentage of patients who left the ED by time and mode of separation, January to March 2016

All attendances

Treated and discharged

Treated and admitted

to hospital

Patients left without, or before

completing, treatment

Transferred to

another hospital

Patients

who

left t

he E

D(%

)

Hours from presentation until leaving the ED

1 hour 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours

Treated and discharged

Treated and admitted to hospital

Patient left without, or before

completing, treatment

Transferred to another hospital

All attendances

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 8 of 9

10,755 patients

10,755 patients

7,873 (73%)

2,464 (23%)

277 (3%)

49 (0%)

92 (1%)

10,482 3%

7,478

2,345

553

71

35

5%

5%

-50%

-31%

163%

0%

20%

40%

60%

80%

100%

0 1 2 3 4 5 6 7 8 9 10 11 12

16% 49% 72% 85% 95% 98% 99% 100%

2% 6% 16% 31% 58% 77% 86% 91%

28% 56% 77% 90% 96% 98% 100% 100%

4% 6% 18% 33% 51% 69% 73% 78%

13% 39% 59% 73% 87% 93% 96% 97%

( ) Data points are not shown in graphs for quarters when patient numbers are too small.

( ) Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before and after

transition to a new information system is not directly comparable. For more information, see Background Paper:

Approaches to reporting time measures of emergency department performance, December 2011.

Page 136: Hospital uarterly - Bureau of Health Information · 2016-05-30 · 4,026 3,871 6% 5% 223 8 minutes 47 minutes 8 minutes 35 minutes 972 21 minutes 78 minutes 20 minutes 99 minutes

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Majo

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(B

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Dis

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More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer

Tamworth Base Hospital: Time from presentation until leaving the ED

Percentage of patients who left the ED within four hours of presentation

January to March 2016

All attendances: 1

Attendances used to calculate time to leaving the ED: 6

Percentage of patients wholeft the ED within four hours

Same period

last year

Change since

one year ago

Percentage of patients who left the ED within four hours of presentation, by quarter, January 2011 to March 2016

Patients

who

left w

ithin

fo

ur

ho

urs

(%

)

Percentage of

patients who

left the ED

within four hours

of presentation

Shaded area

shows transition

to a new patient

record system

(if applicable)

Patients who left within four hours (%)

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.

Data points are not shown in graphs for quarters when patient numbers were too small.

Caution is advised when interpreting abrupt changes over time at the hospital level. For example, performance before

and after transition to a new information system is not directly comparable. For more information see

Background Paper: Approaches to reporting time measures of emergency department performance, December 2011.

1. All emergency and non-emergency attendances at the emergency department (ED).

2. All attendances that have a triage category and are coded as emergency presentations or unplanned return visits.

3. Some patients are excluded from ED time measures due to calculation requirements. For details, see the

Technical Supplement: Emergency department measures, January to March 2016.

4. The median is the time by which half of patients started treatment. The other half of patients took equal to or longer

than this time.

5. The 95th percentile is the time by which 95% of patients started treatment. The final 5% of patients took equal to or

longer than this time.

6. All attendances that have a departure time.

7. Transfer of care time refers to the period between arrival of patients at the ED by ambulance and the transfer of

responsibility for their care from paramedics to ED staff in an ED treatment zone. For more information see

Spotlight on Measurement: measuring transfer of care from the ambulance to the emergency department.

8. The median is the time by which half of patients left the ED. The other half of patients took equal to or longer than this time.

9. The 95th percentile is the time by which 95% of patients left the ED. The final 5% of patients took equal to or longer

than this time.

Note: Presentation time is the earlier of times recorded for the start of clerical registration or the triage process.

Treatment time is the earliest time recorded when a healthcare professional provides medical care that is relevant to

the patient’s presenting problems. For patients who were treated and discharged, departure time is the time when

treatment was completed. For all other patients, departure time is the time when the patient actually left the ED.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100%.

Sources: ED data from Health Information Exchange, NSW Health (extracted 22 April 2016).

Transfer of care data from Transfer of Care Reporting System (extracted 22 April 2016).

PERFORMANCE PROFILES: Emergency department care January to March 2016 www.bhi.nsw.gov.au Page 9 of 9

10,755 patients

10,755 patients

73%

10,482

10,482

69%

3%

3%

0

20

40

60

80

100

Jan-

Mar

11

Apr-J

un 1

1

Jul-S

ep 1

1

Oct

-Dec

11

Jan-

Mar

12

Apr-J

un 1

2

Jul-S

ep 1

2

Oct

-Dec

12

Jan-

Mar

13

Apr-J

un 1

3

Jul-S

ep 1

3

Oct

-Dec

13

Jan-

Mar

14

Apr-J

un 1

4

Jul-S

ep 1

4

Oct

-Dec

14

Jan-

Mar

15

Apr-J

un 1

5

Jul-S

ep 1

5

Oct

-Dec

15

Jan-

Mar

16

Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar Jan-Mar2011 2012 2013 2014 2015 2016

66% 60% 66% 73% 69% 73%