Performance Measurement and Reporting The Australian Perspective

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Performance Measurement and Reporting The Australian Perspective About the Authority www.nhpa.gov.au About Hospital Performance reports www.myhospitals.gov.au About Healthy Community reports www.myhealthycommunity.gov.au Dr Diane Watson, Chief Executive Officer

National Health Reform Act To monitor, and report on, the performance of the following: Local hospital networks Public hospitals Private hospitals Primary health care organisations Other bodies or organisations that provide health care services.

Mission The National Health Performance Authority will monitor, and Subtitle report on, the comparable performance of health care organisations to stimulate and inform improvement in the Australian health system, increase transparency and accountability and inform consumers. Prepared DD/MM/YYY

Our websites www.nhpa.gov.au www.myhospitals.gov.au www.myhealthycommunities.gov.au

Healthy Communities reports

Next slide

Public reporting as a catalyst for change Healthy Communities: Immunisation rates for children in 2011 12 This report showed that almost 77,000 Australian children aged up to 5 years were not fully immunised. Results were broken down to more than 300 local areas and in some cases individual postcodes. Significant media coverage with more than 700 media stories published across print, radio, TV and online over the 30-day period after release. NSW Cabinet backed legislation to amend the Public Health Act, making it mandatory for parents to provide evidence that their child is fully vaccinated before being able to enrol them in childcare.

MyHealthyCommunities.gov.au Health status and outcomes Ratings of health Chronic conditions Prevention Immunisation rates: 1, 2 and 5 year Immunisation rates among Aboriginal children Overweight, obesity, smoking Experiences with care Wait times for GPs Wait times for specialists Cost barriers to GP Cost barriers to dentists Cost barriers to specialists Use of services Visits to dentists Visits to GPs Visits to medical specialists Expenditures on services GP services

COAG indicators for Medicare Locals (examples) Effectiveness Safety and quality Selected potentially avoidable hospitalisations Effectiveness Patient experience Measure of patient experience Equity and effectiveness Access Access to services by type of service compared to need GP type service use Vaccination rates for children Number of women with at least one antenatal visit in the first trimester Health outcome context Subtitle Prevalence of diabetes Infant/young child mortality rate Prepared DD/MM/YYY

Our websites www.nhpa.gov.au www.myhospitals.gov.au www.myhealthycommunities.gov.au

Hospital Performance reports

MyHospitals.gov.au Emergency departments Waiting times Time spent in the ED Elective surgery Waiting times for surgery Malignant cancers Cardiothoracic Ears, nose and throat Plus, 10 other types of surgery Quality and safety Hand hygiene Healthcare associated SAB infections Stays in hospital Relative length of stay Vaginal and caesarean births Medical: cellulitis, COPD, plus 3 other Surgical: appendix, plus many others

COAG indicators for Hospitals (examples) Effectiveness Safety and quality Hospital mortality Unplanned readmissions Effectiveness Patient experience Measure of patient experience Equity and effectiveness Access Access to services by type of service compared to need Cancer care pathway waiting times for cancer care Elective surgery waiting times by urgency category Efficiency and financial performance Relative stay index for multi-day stay patients Subtitle Day or surgery admission rates for non-emergency multi-day patients Cost per case mix weighted separation Prepared DD/MM/YYY

www.nhpa.gov.au