Dec-06 May-06 Jun-07. KEY PERFORMANCE INDICATORS Month Year to date Month Year to date

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1 60.00 Dec-06 May-06 Jun-07 KEY PERFORMANCE INDICATORS Month Year to date Month Year to date CLINICAL QUALITY Jun-06 Jun-07 Target Var Actual Target Var DELIVERY QUALITY Jun-06 Jun-07 Target Var Actual Target Var Readmission Rate 4.2% 2.9% 4.5% 36.2% 4.5% 4.5% (0.6%) Overall Inpatient Satisfaction - Quarterly (Good & Very Good) (Q) - March % 91.7% 90% 1.9% 92.1% 90% 2.3% Unplanned Readmission to ICU (Surgery) (7) (1) 16 0 (16) Staff Turnover % (FTE Basis) (1)(8) 0.97% 1.16% 1.2% 3.2% 12.72% 14.4% 11.7% Caesarean Section Rate (5) 34.2% 28.8% 28.0% (2.7%) 32.9% 28.0% (17.6%) Sick Leave % (1) 3.04% 3.39% 3% (13.0%) 3.15% 3% (5.1%) BSI - Hospital Acquired Blood Stream Infection Rate (1) 0.51% 0.4% 0.15% (192.8%) 0.36% 0.15% (138.6%) ED Triage - Priority 1 (1) 100.0% 100% 100% 0% 100% 100% 0% Hospital-Acquired S. Aureus Bloodstream Infections * 0.20% 0.00% (0.20%) 0.072% 0.0% (0.072%) ED Triage - Priority 2 (1) 84.0% 86.1% 80% 7.6% 87.8% 80% 9.7% Medical Outlier Days (3) (78) (1,154) ED Triage - Priority 3 (1) 55.8% 65.7% 75% (12%) 65.3% 75% (13%) Surgical Outlier Days (3) Average number of working days to resolve complaints (1) (9%) (11%) Paediatric Admits to Adult Wards (4) (13) (156) Outpatients Number Waiting > six months on the waiting list (1 Inpatients Number Waiting > six months (76) 76 0 (76) (155) (155) PRODUCTIVITY Jun-06 Jun-07 Target Var Actual Target Var FINANCIAL PERFORMANCE Jun-06 Jun-07 Target Var Actual Target Var ALOS Med_Surg Only(1) (7.9%) (2.9%) WIES11A Caseweight Volumes (Based on month end coding) 2,213 2,121 2,371 (10.5%) 28,172 28, % Resourced Occupancy (1) 84% 88% 85% 3.6% 87% 85% 2.2% Outpatient FSA Volumes (1) 1,775 1,747 2,195 (20.4%) 22,397 24,622 (9.0%) Elective Theatre Utilisation (MOT) 76% 85% 85% 0.0% 83% 85% (2.1%) Outpatient FU Volumes (1) 4,456 4,444 4,967 (10.5%) 54,424 56,139 (3.1%) Day Surgery Utilisation (DSU) 81% 91% 85% 7.1% 73% 85% (14.2%) Emergency Dept attendances 2,713 2,757 2, % 36,079 30, % Elective Daycase Rate (1) (2) 64% 78% 77% 0.7% 73% 77% (5.6%) FTEs 2,368 2,309 2,284 (1.1%) 2,292 2, % Outpatient DNA Rate (1) FSAs 5.0% 5.8% 5% (16.4%) 5.9% 5% (18.6%) Number of staff with Annual Leave (excludes RMOs SMOs) > 240 hours * (107) (107) Outpatient DNA Rate (1) Follow Ups 7.2% 7.1% 5% (42.1%) 6.9% 5% (37.7%) Number of staff with Annual Leave > 300 hours (RMO'S& SMO'S) * 10 0 (10) 10 0 (10) Overall Average Case Weight (WIES11A) (1) % (6.3%) Operating Result ($000, +ve is surplus) (1,511) ,055 (48) 7,103 Personnel Costs($000) 14,807 14,731 12,869 (1,862) 162, ,121 (4,323) ACC Revenue ($000) (14) 6,401 6, DSS Revenue ($000) 1,702 1, ,740 6,468 1,272 KEY (Q) Quarterly Measure based on the previous fiscal quarter & YTD fiscal year. (1) Source -Reporting Team (M-1) Indicator reported in Qtrly MOH Balanced (2) The data definition is now in line with MOH definition. (National average for this KPI 71% for March 05 quarter) Target adjusted to equal that of the best DHB. * Historical Data is not available in relation to the new Scorecard categories (3)The number of bed nights (according to the midnight census) spent by patients from Medical group in Surgical beds or the number from Surgical group in Medical beds. All Variances (Except where a zero target is in place) have been re-calculated so that they now represent the relative degree to which actual performance varies from targeted performance (4) The number of admissions by patients under 14 years of age to an adult ward (not including ICU) (5)Caesarean Section rate is for Queen Mary specialists only and excludes the interventions made by private obstetricians (6) FTEs does not include DHB Governance&Admin (7) Unplanned readmission to ICU - changed from readmissions within 5 days to 72 hours (now consistent with ACHS clinical care indicators)

2 KPI s June 2007 Megan Boivin Operations Manager 17 July 2007 KPI s HAC report 20/07/2007 Operations Manager : Megan Boivin

3 KPI's % of Resourced Beds Occupied for Dunedin and Wakari Hospitals (KPI #1) 100.0% 95.0% 90.0% 85.0% 80.0% 75.0% 70.0% Target = 85% June = 88.1% 65.0% 60.0% Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Definition: Total number of beds occupied at the midnight census divided by the number of resourced bed Actual Lower Upper Target Linear (Actual) % of Emergency Department Patients Seen Within Specified Times as defined by the Australasian College for Emergency Medicine (KPI # 2) Month : T1=100% T2=86% T3=66% T4=63% T5=87% Australia 1997 : T1=92% T2=69% T3=66% T4=67% T5=80% Targets : T1=100% T2=80% T3=75% T4=70% T5=70% 0 Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Specified times - Triage 1-1 min; Triage 2-10 mins; Triage 3-30 mins; Triage 4-1 hours; Triage 5-2 hrs. Triage 1 Triage 2 Triage 3 Triage 4 Triage 5 Page A

4 KPI's Readmit Rate (KPI # 3) Target = 4.5% June = 2.83% 7.0% 6.5% 6.0% 5.5% 5.0% 4.5% 4.0% 3.5% 3.0% 2.5% 2.0% 1.5% 1.0% 0.5% 0.0% Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Rate Target Lower Upper Linear (Rate) Average Length of Stay Med/Surg Only (KPI # 4) Target = 4.5 days June = 4.86 days Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Definition: Total days in hospital divided by the number of discharges (excludes ICU and CCU and all day cases) occurred in the month. Comment: Actual Target Lower Upper Linear (Actual) Page B

5 KPI's 5.0% Percent Sick Leave Hours (KPI # 5) Target = 3% June =3.4% 4.0% 3.0% 2.0% Total sick hours = Total hours = 364, % Percent lost time Target Lower Upper Linear (Percent lost time) 0.0% Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Definition: Total sick hours paid during the month (excl ACC) over total hours paid during the month. Comment: 5.0% Sick Leave % with long term sick identified KPI # 6 June long term sick leave 1,749 hours 16 staff members 4.0% 3.0% 2.0% 1.0% 0.0% Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 % Total Sick % Excluding Long Term Sick Page C

6 KPI's Percent Sick Leave Hours by Group (KPI # 7) 6.0% 5.5% 5.0% 4.5% 4.0% 3.5% 3.0% 2.5% 2.0% 1.5% 1.0% 0.5% 0.0% Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 Medical Personnel Nursing Personnel Allied Health Support Personnel Management/Administration This represents individual occupation groups which allow us to review trends within these groups 4000 Overtime and Callback Hours (Electronic Timesheet Report KPI # 8) hours Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Overtime Hours Callback Hours 2 per. Mov. Avg. (Overtime Hours) Page D

7 Number of patients Waiting for treatment > than 6 months KPI # 9 For 3 months to June Cardiac Surgery Cardiology ENT Gynaecolo gy Neurosurg ery Ophthalmol ogy Orthopaedi c Paediatric General Surgery Apr May Jun Urology 100% Waiting Times of Elective Patients Admitted during the month of June 2007 KPI # 10 75% 50% 25% 0% Cardiac Surgery Cardiology ENT Gynaecolo Neurosurg gy ery Ophthalm ology Orthopaed ic Paediatric General Surgery Admit <=6 Mths 83% 97% 91% 92% 100% 97% 86% 85% 91% 80% Admit >6 Mths 17% 3% 9% 8% 0% 3% 14% 15% 9% 20% Total Admits Urology Total Admissions during the month vs Total added to the Booking Lists during the month of June 2007 KPI # Cardiac Surgery Cardiology ENT Gynaecolo gy Neurosurg ery Ophthalmo logy Orthopaedi c Paediatric General Surgery Total Admits Total Added Added >AT Page E Urology

8 Inpatient KPI's Waiting > 6 Months (KPI # 12) Trend Line represents the Total of All Services Stack represents only those Services with Volumes greater than Jun-06 Jul-06 Aug-06 Sep0-6 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 ENT General Surgery Urology Orthopaedic Total Page F

9 KPI's 25 Waiting for FSA > 6 Months by Speciality (KPI # 13) (Excludes Rural Clinics Waiting) Cardiol ogy Derma tology Diabet es ENT Gastro Gen Med Gen Surg Gynae cology Haema tology Neurol ogy Apr May Jun Neuros urg Oncolo gy Ophth almolo Ortho Paeds Pain Renal Respir atory Rheum atology Urolog y 300 Waiting for FSA > 6 Months Totals (KPI # 14) (Excludes Rural Clinics Waiting) 10% 8% 200 6% 100 4% 2% 0 Jun-06 Jul-06 Aug-06 Sep0-6 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 No Waiting >6 Mths Total Waiting % Waiting >6 Mths 6% 6% 4% 3% 2% 1% 3% 5% 4% 2% 3% 2% 2% 0% Page G

10 KPI's 600 Number of Patients on Active Review (KPI # 15) (Patients with a Staged/Planned Flag are excluded) Stack represents only those services with volumes greater than 20 Included in these numbers are 10 children, 9 within ENT and 1 in Orthopaedics Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun General Surgery Cardiac Surgery ENT Orthopaedic Gynaecology Ophthalmology Total Page H

11 KPI's 500 Total patients in Active Review and Given Certainty (KPI # 16) June Cardiac Surgery Cardiolog y ENT Gynaecol ogy Neurosurg ery Ophthalm ology Orthopae dic Paediatric General Surgery Total Waiting > 6 Months Total Waiting < 6 Months Active Review Urology This graph represents patients on the booking system by specialty, it shows the total number patients on Active review and also those that have been told that they will receive treatment within 6 months and actually shows if they have been waiting longer than the 6 months This graph also includes those patients that have received a date for treatment 7.5% 7.0% DNA Rate of Total FSA Appointments (KPI # 17) (Excludes Rural Clinics) June % DNA Percentage 6.5% 6.0% 5.5% 5.0% 4.5% No of DNAs 4.0% 3.5% DNA Rate No of DNA's Linear (DNA Rate) % Jun-06 Jul-06 Aug-06 Sep0-6 Oct-06 Nov-06 Dec-06 This graph represents the percentage of patients that did not attend their First Specialist Attendance within the Med/Surg groups Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07 0 Page I

12 Inpatient KPI's Acute Admissions - Average CW/Discharge KPI # Caseweights Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 05_ _ Elective Admissions - Average CW/Discharge KPI # Caseweights Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 05_ _ Total Admissions - Average CW/Discharge KPI # Caseweights Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 05_ _ Page J

13 Number of patients Given Certainty and their Wait time for treatment (Includes Booked patients) at June 2007 KPI#21 (Excludes patients with a staged or planned status) The numbers in Red indicate the number of booked patients No of patients >=6 Cardiothoracic Cardiology ENT Gynaecology Neurosurgery Paediatric General Surgery Ophthalmology Total Months Waiting Comments: This graph shows the number of patients who have received certainty, including those that have been booked for treatment (383) The numbers in this graph includes 626 patients with certainty status but are under the Access Threshold and 41 of these have been waiting greater than 6 months No of patients Number of patients Given Certainty and their Wait time for treatment (Includes Booked patients) at May 2007 KPI#21 (Excludes patients with a staged or planned status) The numbers in Red indicate the number of booked patients >= Cardiothoracic Cardiology ENT Gynaecology Neurosurgery Paediatric General Surgery Ophthalmology Total Months Waiting Comments: This graph shows the number of patients who have received certainty, including those that have been booked for treatment (377) The numbers in this graph includes 626 patients with certainty status but are under the Access Threshold and 46 of these have been waiting greater than 6 months Number of patients Given Certainty and their Wait time for treatment (Includes Booked patients) at April 2007 KPI#21 (Excludes patients with a staged or planned status) The numbers in Red indicate the number of booked patients No of patients >=6 Cardiothoracic Cardiology ENT Gynaecology Neurosurgery Orthopaedics Months Waiting Paediatric General Surgery Urology Ophthalmology Total C t Thi h h th b f ti t h h i d t i t i l di th th t h b b k d f t t t (470) Number of patients Given Certainty and their Wait time for treatment (Includes Booked patients) at March 2007 KPI#21 (Excludes patients with a staged or planned status) The numbers in Red indicate the number of booked patients No of patients >=6 Cardiothoracic Cardiology ENT Gynaecology Neurosurgery Orthopaedics Months WaitingPaediatric General Surgery Urology Ophthalmology Total C t Thi h h th b f ti t h h i d t i t i l di th th t h b b k d f t t t (404) Page K

14 Activity June 2007 Recommendation That the Hospital Advisory Committee note the report. Caseweight activity is 8% below plan for the month. This includes an assumption that the 56 uncoded cases will produce 67 caseweights. Patients admitted from the Emergency Department to inpatient areas were 854 compared to 822 in May. Inpatients : There are 66 Medical / Surgical cases that remain uncoded year to date. Caseweight activity is 8% below plan for June (including an adjustment for the uncoded cases). Acute activity is 13% below plan for June compared to 2% above plan for May; Otago acute volumes are 13% below plan for June compared to 3% below plan for May. Year end, Otago Acute volumes are 1% below plan. Elective activity is 4% below plan for June compared to 6% above plan for May. Year end, elective activity is 1% above plan (121 caseweights). There are still 19 elective cases to be coded at the time of the report. There were 18 patients still in Hospital as at 1 July 2007, all with lengths of stay greater than 30 days, attached is a table that shows which services these patients are in. Last month there were 18 patients. Service ACC Funded Bed Days MoH Funded Bed Days Geriatrics 109 Physical Rehab NICU 256 Orthopaedics 39 Psychogeriatrics 211 Cardiothoracic 113 Urology 31 Total 107 days 790 days Activity June /07/ Megan Boivin

15 Inter District Flow (IDF) volumes are 25% below plan for June, however they are 8% above plan for the year. Attached is a table that shows the IDF inflows by DHB, this information is different to that reflected in the appendices, due to phasing. In the appendices the services have phased the total IDF s per service by admit type, but it is not split by DHB. The information in the attached table has not been phased, and looks at total volumes by DHB rather than being split by service. The Ministry of Health assigned the planned volumes. This information also excludes any cases that were admitted and discharged from the Emergency Department, due to DHB s capturing data differently in this area. DHB June Year to date Actual Plan Variance Actual Plan Variance Auckland % % Bay of Plenty % % Canterbury % % Capital and Coast % % Counties Manukau % % Hawkes Bay % % Hutt % % Lakes % % MidCentral % % Nelson Marlborough % % Northland % % South Canterbury % % Southland % % Tairawhiti % % Taranaki % % Waikato % % Waitemata % % Wairarapa % % West Coast % % Whanganui % % TOTAL % 3, , % Below is a table which shows the July to June actual inflows from Southland for both Elective and Acute admissions, compared to the budgeted volumes for the same period. The figures below exclude uncoded cases. This represents an 8.6% performance above planned volumes. Admission Type Actual ytd Budget ytd Elective Acute/Arranged 2, ,821 TOTAL 2, ,755 Activity June /07/ Megan Boivin

16 Outpatients: Total outpatient activity is 12% below plan for June, compared to 2% above plan for May. Year end we are 5% below plan. Within the outpatient activity there are services that are under delivering and those that are over delivering. The Industrial action and has impacted on some of the outpatient activity, in particular within the Orthopaedic service. (See appendix 9) Megan Boivin Operations Manager 9 th July 2007 Attachments 1. Contract Performance Total coded caseweights summary June Contract Performance Acute & Elective includes IDF s June Contract Performance Coded Acute caseweights includes IDF June Contract Performance Coded Acute caseweights IDF s only June Contract Performance Coded Acute caseweights Otago patients only June Contract Performance Coded Elective caseweights includes IDF s June Contract Performance Coded Elective caseweights Otago patients only June Contract Performance Coded Elective caseweights IDF s only June Contract Performance Outpatients June Total Cumulative Caseweight Delivery Cumulative Elective Caseweight Delivery Cumulative Acute Caseweight Delivery Monthly Phasing of Caseweight Activity Number of Patients admitted from ED to inpatient areas 15. Admissions from ED to inpatient wards Number of ED presentations by triage category 17. ED volumes comparison between years 18. ED versus Non-ED Discharges 19. ED versus Non-ED Bed Days Activity June /07/ Megan Boivin

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