GNCH Surgery Program Summary - Access and Flow Dashboard Source: Tableau, AHS Repository, PowerAbstract Database

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Percent Percent # Discharges GNCH Surgery Program Summary - Access and Flow Dashboard 15 1 95 9 5 GNCH Surgery Program Total Discharges, % Discharged by 11 a.m. 15-15- Q Q1 Q Total Discharges % IP Discharged by 11 a.m. 15- Target % Discharged before 11 a.m. 1% 1 % Discharged before 11 a.m. GNCH Surgery Program Acute LOS/ELOS Ratio (excludes ALC days) 15- Target 1. ALOS/ELOS Ratio - 1.15 1. 1. 1...... 15-15- Q Q1 Q Acute LOS/ELOS Ratio ALOS/ELOS Target 1 1 GNCH Surgery Program % ALC Days 15-15- Q Q1 Q % ALC Days 1 1 GNCH Surgery Program Readmission Rate 15- SAMPLE Target: 7 days - 5.1; 3 days -.1 15-15- Q Q1 Q 7 Day Readmission Rate (%) 3 Day Readmission Rate (%) L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \GNCH Surgery ly.xlsx

GNCH Surgery Program Summary - Access and Flow Dashboard GNCH FLOW ALOS/ELOS Readmission Surgery Program Summary 13/ /15 15/ 15-15- Q Q1 Q Same Year Admissions from ED 1,77 1,339 1,3 3 3 35 357 39-3 Total Discharges 3,7,51 3,9 13 133 13 91 997 7 - % IP Discharged by 11 a.m. 3 3 3 33 31 - -7 1 Acute LOS/ELOS Ratio (excl ALC).97.9.9.93.91.9.7.9.3 -.3 1.15 % ALC Days.7 3.. 1.7 1..9 7. 1.9-5.3. 7 Day Readmission Rate (%).5....5 3. 3.. n/a. 3 Day Readmission Rate (%) 5.9..5 5.3 7.1 7.. 1. n/a 15. Implementation Date: June Admissions from ED: Patients admitted from the Emergency Department with surgical Physician Service. Total Discharges includes all dispositions (home, death, transfer, AMA). Acute LOS/ELOS Ratio is the Acute LOS/ELOS for typical cases - CIHI grouper logic is now used for all ALOS/ELOS Atypical Cases are excluded from ELOS comparison; Atypical Cases are deaths, sign-out (left AMA), transfers to and/or from another acute care site. % ALC Days is ALC Days divided by Total Hospital LOS. Readmission info is based on the admit date recorded on the discharged inpatient record and is therefore reported 1 quarter behind DAD availability. This lag is to allow for the 3 day readmit window in addition to time required to discharge, code the chart and receive the file. Total Qualifying Readmit Discharges is the denominator for the readmission rate calculation (not total discharges); this excludes deaths, transfers to acute care, sign-out, and residents from outside of AB. 15/ Target L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \GNCH Surgery ly.xlsx

Percent Percent # Discharges GNCH General Surgery Summary - Access and Flow Dashboard 5 GNCH General Surgery Total Discharges, % Discharged by 11 a.m. 15-15- Q Q1 Q Total Discharges % IP Discharged by 11 a.m. 15- Target % Discharged before 11 a.m. 1% 1 % Discharged before 11 a.m. GNCH General Surgery Acute LOS/ELOS Ratio (excludes ALC days) 15- Target 1. ALOS/ELOS Ratio - 1.15 1. 1. 1...... 15-15- Q Q1 Q Acute LOS/ELOS Ratio ALOS/ELOS Target 1 1 GNCH General Surgery % ALC Days 15-15- Q Q1 Q % ALC Days 1 1 GNCH General Surgery Readmission Rate 15- SAMPLE Target: 7 days - 5.1; 3 days -.1 15-15- Q Q1 Q 7 Day Readmission Rate (%) 3 Day Readmission Rate (%) L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \GNCH Surgery ly.xlsx

GNCH General Surgery Summary - Access and Flow Dashboard GNCH FLOW ALOS/ELOS Readmission General Surgery Summary 13/ /15 15/ 15-15- Q Q1 Q Same Year Admissions from ED 9 1, 1, 5 5 79 3 7-5 Total Discharges 1,9 1,5 1,3 5 9 - - % IP Discharged by 11 a.m. 33 3 33 3 31 7-1 Acute LOS/ELOS Ratio (excl ALC).9.93.9.95..95... -.7 1.15 % ALC Days.9..7 1....1.9-1. -.7 7 Day Readmission Rate (%) 3.. 3. 3. 3.7.5.7.3 n/a. 3 Day Readmission Rate (%) 7.7 7.1. 7.1 9.3 1.3 1.. n/a 15. Implementation Date: June Admissions from ED: Patients admitted from the Emergency Department with Physician Service of General Surgery. Total Discharges includes all dispositions (home, death, transfer, AMA) Acute LOS/ELOS Ratio is the Acute LOS/ELOS for typical cases - CIHI grouper logic is now used for all ALOS/ELOS Atypical Cases are excluded from ELOS comparison; Atypical Cases are deaths, sign-out (left AMA), transfers to and/or from another acute care site. % ALC Days is ALC Days divided by Total Hospital LOS. Readmission info is based on the admit date recorded on the discharged inpatient record and is therefore reported 1 quarter behind DAD availability. This lag is to allow for the 3 day readmit window in addition to time required to discharge, code the chart and receive the file. Total Qualifying Readmit Discharges is the denominator for the readmission rate calculation (not total discharges); this excludes deaths, transfers to acute care, sign-out, and residents from outside of AB. 15/ Target L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \GNCH Surgery ly.xlsx

Percent Percent # Discharges GNCH Vascular Surgery Summary - Access and Flow Dashboard 3 5 15 1 5 GNCH Vascular Surgery Total Discharges, % Discharged by 11 a.m. 15-15- Q Q1 Q Total Discharges % IP Discharged by 11 a.m. 15- Target % Discharged before 11 a.m. 1% 1 % Discharged before 11 a.m. GNCH Vascular Surgery Acute LOS/ELOS Ratio (excludes ALC days) 15- Target 1. ALOS/ELOS Ratio - 1.15 1. 1. 1...... 15-15- Q Q1 Q Acute LOS/ELOS Ratio ALOS/ELOS Target 1 1 GNCH Vascular Surgery % ALC Days 15-15- Q Q1 Q % ALC Days 1 1 GNCH Vascular Surgery Readmission Rate 15- SAMPLE Target: 7 days - 5.1; 3 days -.1 15-15- Q Q1 Q 7 Day Readmission Rate (%) 3 Day Readmission Rate (%) L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \GNCH Surgery ly.xlsx

GNCH Vascular Surgery Summary - Access and Flow Dashboard GNCH FLOW ALOS/ELOS Readmission Vascular Surgery Summary 13/ /15 15/ 15-15- Q Q1 Q Same Year Admissions from ED 11 55 5 5 3-7 -17 Total Discharges 5 3 33 15 3 19 7 55 % IP Discharged by 11 a.m. 19 1 1 17 9 19 11 - -9 1 Acute LOS/ELOS Ratio (excl ALC).9.9.9.9.95.1..9.1 -. 1.15 % ALC Days 3..7..3 3.5 1.7 17. 3.5-13.5 1. 7 Day Readmission Rate (%).7.5..5 1.. 3. 1. n/a. 3 Day Readmission Rate (%) 7.9 9.. 7. 9..9 1. 1.3 n/a 15. Implementation Date: June Admissions from ED: Patients admitted from the Emergency Department with Physician Service of Vascular Surgery. Total Discharges includes all dispositions (home, death, transfer, AMA). Acute LOS/ELOS Ratio is the Acute LOS/ELOS for typical cases - CIHI grouper logic is now used for all ALOS/ELOS Atypical Cases are excluded from ELOS comparison; Atypical Cases are deaths, sign-out (left AMA), transfers to and/or from another acute care site. % ALC Days is ALC Days divided by Total Hospital LOS. Readmission info is based on the admit date recorded on the discharged inpatient record and is therefore reported 1 quarter behind DAD availability. This lag is to allow for the 3 day readmit window in addition to time required to discharge, code the chart and receive the file. Total Qualifying Readmit Discharges is the denominator for the readmission rate calculation (not total discharges); this excludes deaths, transfers to acute care, sign-out, and residents from outside of AB. 15/ Target L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \GNCH Surgery ly.xlsx

Percent Percent # Discharges GNCH Gynecology Summary - Access and Flow Dashboard 5 15 1 5 GNCH Gynecology Total Discharges, % Discharged by 11 a.m. 15-15- Q Q1 Q Total Discharges % IP Discharged by 11 a.m. 15- Target % Discharged before 11 a.m. 1% 1 % Discharged before 11 a.m. 1. 1. 1. 1...... GNCH Gynecology Acute LOS/ELOS Ratio (excludes ALC days) 15- Target ALOS/ELOS Ratio - 1.15 15-15- Q Q1 Q Acute LOS/ELOS Ratio ALOS/ELOS Target 1 1 GNCH Gynecology % ALC Days 15-15- Q Q1 Q % ALC Days 1 1 GNCH Gynecology Readmission Rate 15- SAMPLE Target: 7 days - 5.1; 3 days -.1 15-15- Q Q1 Q 7 Day Readmission Rate (%) 3 Day Readmission Rate (%) L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \GNCH Surgery ly.xlsx

GNCH Gynecology Summary - Access and Flow Dashboard GNCH FLOW ALOS/ELOS Readmission Gynecology Summary 13/ /15 15/ 15-15- Q Q1 Q Same Year Admissions from ED 113 19 1 15 31 11-17 - Total Discharges 7 753 79 1 13 195 3-3 % IP Discharged by 11 a.m. 35 39 3 1 3 39 3 3-9 1 Acute LOS/ELOS Ratio (excl ALC) 1..9...9..7..1. 1.15 % ALC Days.......... 7 Day Readmission Rate (%) 1..3 1. 1.3 1..1 1.3 -. n/a. 3 Day Readmission Rate (%) 3.. 3.. 3.3 3...7 n/a 15. Implementation Date: June Admissions from ED: Patients admitted from the Emergency Department with Physician Service of Obstetrics/Gynecology and a discharge service of Gynecology. Total Discharges includes all dispositions (home, death, transfer, AMA). Acute LOS/ELOS Ratio is the Acute LOS/ELOS for typical cases - CIHI grouper logic is now used for all ALOS/ELOS Atypical Cases are excluded from ELOS comparison; Atypical Cases are deaths, sign-out (left AMA), transfers to and/or from another acute care site. % ALC Days is ALC Days divided by Total Hospital LOS. Readmission info is based on the admit date recorded on the discharged inpatient record and is therefore reported 1 quarter behind DAD availability. This lag is to allow for the 3 day readmit window in addition to time required to discharge, code the chart and receive the file. Total Qualifying Readmit Discharges is the denominator for the readmission rate calculation (not total discharges); this excludes deaths, transfers to acute care, sign-out, and residents from outside of AB. 15/ Target L:\Reporting\MULTI site\routines\acute Care Access and Flow Dashboard - GNH MCH\Integrated Access ly & Monthly\ \GNCH Surgery ly.xlsx