More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Emergency department (ED) overview October to December 2016 Same period Change since last year one year ago All presentations:1 8,063 patients 2 Emergency presentations: 7,937 patients 7,969 1.2% 7,878 0.7% Mount Druitt Hospital: Time patients waited to start treatment 3 October to December 2016 Same period last year Triage 2 Emergency (e.g. chest pain, severe burns): 1,245 patients 90th percentile time to start treatment 5 Triage 3 25 minutes Urgent (e.g. moderate blood loss, dehydration): 3,095 patients 87 minutes 90th percentile time to start treatment5 Semi-urgent (e.g. sprained ankle, earache): 2,579 patients 108 minutes 5 90th percentile time to start treatment Triage 5 8 minutes 26 minutes 26 minutes 28 minutes 20 minutes 93 minutes 67 minutes 2,702 37 minutes Median time to start treatment4 9 minutes 3,155 27 minutes Median time to start treatment4 Triage 4 1,080 10 minutes Median time to start treatment4 39 minutes 25 minutes 113 minutes 97 minutes Non-urgent (e.g. small cuts or abrasions): 991 patients 919 34 minutes Median time to start treatment4 5 90th percentile time to start treatment NSW (this period) Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. 112 minutes 38 minutes 24 minutes 118 minutes 103 minutes Mount Druitt Hospital: Time from presentation until leaving the ED Same period Change since last year one year ago Percentage of patients who spent four hours or less in the ED 7,969 71.8% 1.0% 69.1% * 1. 2. 3. Suppressed due to small number of patients and to protect privacy. Relevant graphs are also suppressed. All emergency and non-emergency attendances at the emergency department (ED). All attendances that have a triage category and are coded as emergency presentations or unplanned return visits. 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 waited equal to or longer than this time. 5. The 90th percentile is the time by which 90% of patients started treatment. The final 10% of patients waited equal to or longer than this time. 6. All presentations 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 24 January 2017). PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 1 of 9 Western Sydney Local Health District Attendances used to calculate time to leaving the ED:6 8,050 patients District group 1 hospitals (C1) October to December 2016 More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Patients presenting to the emergency department October to December 2016 Same period Change since last year one year ago 1 All presentations: 8,063 patients 2 Emergency presentations by triage category: 7,937 patients 1 Resuscitation 2 Emergency Semi-urgent 5 Non-urgent 1.2% 7,878 0.7% 22 22.7% 1,080 15.3% 3,155 -1.9% 2,702 -4.6% 919 7.8% 27 (0.3%) 1,245 (15.7%) 3 Urgent 4 7,969 3,095 (39.0%) 2,579 (32.5%) 991 (12.5%) Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. 2 Emergency presentations by quarter, October 2011 to December 2016 Number of presentations 4,000 3,000 1 Resuscitation 2 Emergency 3 Urgent 4 Semi-urgent 5 Non-urgent 2,000 1,000 Shaded area shows transition to a new patient record system (if applicable) O ct -D ec 11 Ja nM ar 12 Ap r-J un 12 Ju l-S ep 12 O ct -D ec Ja 12 nM ar 13 Ap r-J un 13 Ju l-S ep 13 O ct -D ec 13 Ja nM ar 14 Ap r-J un 14 Ju l-S ep 14 O ct -D ec Ja 14 nM ar 15 Ap r-J un 15 Ju l-S ep 15 O ct -D ec 15 Ja nM ar 16 Ap r-J un 16 Ju l-S ep 16 O ct -D ec 16 0 Oct-Dec 2011 Resuscitation Oct-Dec 2012 Oct-Dec 2013 Oct-Dec 2014 Oct-Dec 2015 Oct-Dec 2016 53 32 37 27 22 27 Emergency 1,013 1,258 1,217 1,260 1,080 1,245 Urgent 2,784 3,320 3,402 3,034 3,155 3,095 Semi-urgent 2,905 2,801 2,754 2,710 2,702 2,579 836 667 730 870 919 991 7,591 8,078 8,140 7,901 7,878 7,937 Non-urgent All emergency presentations Mount Druitt Hospital: Patients arriving by ambulance October to December 2016 Same period Change since last year one year ago 7 Arrivals used to calculate transfer of care time: 798 patients 947 90th percentile time 14 minutes 30 minutes 14 minutes 0 minutes 28 minutes 2 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 trans For more information, see Background Paper: Approaches to reporting time measures of emergency department performance, December 2011. PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 2 of 9 Western Sydney Local Health District Median time District group 1 hospitals (C1) ED Transfer of care time More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Time patients waited to start treatment, triage 2 October to December 2016 Same period last year Emergency (e.g. chest pain, severe burns) Triage 2 Number of triage 2 patients: 1,245 1,080 3 Number of triage 2 patients used to calculate waiting time: 1,239 Median time to start treatment NSW (this period) 4 1,064 10 minutes 90th percentile time to start treatment 5 25 minutes 9 minutes 8 minutes 26 minutes 26 minutes Percentage of triage 2 patients who received treatment by time, October to December 2016 Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. Patients who received treatment (%) 100 80 60 This ED 40 NSW 20 0 0 20 40 60 80 100 120 140 160 180 200 220 240 260 280 Minutes from presentation until treatment Time patients waited to start treatment(minutes) for triage 2 patients, October 2011 to December 2016 50 90th percentile time to start treatment Median time to start treatment 30 20 10 12 Ju l-S ep 12 O ct -D ec 12 Ja nM ar 13 Ap r-J un 13 Ju l-S ep 13 O ct -D ec 13 Ja nM ar 14 Ap r-J un 14 Ju l-S ep 14 O ct -D ec 14 Ja nM ar 15 Ap r-J un 15 Ju l-S ep 15 O ct -D ec 15 Ja nM ar 16 Ap r-J un 16 Ju l-S ep 16 O ct -D ec 16 Oct-Dec 2011 Median time to start treatment 4 (minutes) 90th percentile time to start treatment 5 (minutes) Oct-Dec 2012 Oct-Dec 2013 Oct-Dec 2014 Oct-Dec 2015 Oct-Dec 2016 8 8 9 10 9 10 21 20 26 26 26 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 trans For more information, see Background Paper: Approaches to reporting time measures of emergency department performance, December 2011. PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 3 of 9 Western Sydney Local Health District 12 -J un Ap r -M ar Ja n O ct -D ec 11 0 Shaded area shows transition to a new patient record system (if applicable) District group 1 hospitals (C1) Time in minutes 40 More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Time patients waited to start treatment, triage 3 October to December 2016 Same period last year Urgent (e.g. moderate blood loss, dehydration) Triage 3 Number of triage 3 patients: 3,095 3,155 3 Number of triage 3 patients used to calculate waiting time: 3,028 Median time to start treatment NSW (this period) 4 2,984 27 minutes 90th percentile time to start treatment 5 87 minutes 28 minutes 20 minutes 93 minutes 67 minutes Percentage of triage 3 patients who received treatment by time, October to December 2016 Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. Patients who received treatment (%) 100 80 60 This ED 40 NSW 20 0 0 20 40 60 80 100 120 140 160 180 200 220 240 260 280 Minutes from presentation until treatment Time patients waited to start treatment(minutes) for triage 3 patients, October 2011 to December 2016 90th percentile time to start treatment 150 Median time to start treatment 100 50 12 Ju l-S ep 12 O ct -D ec 12 Ja nM ar 13 Ap r-J un 13 Ju l-S ep 13 O ct -D ec 13 Ja nM ar 14 Ap r-J un 14 Ju l-S ep 14 O ct -D ec 14 Ja nM ar 15 Ap r-J un 15 Ju l-S ep 15 O ct -D ec 15 Ja nM ar 16 Ap r-J un 16 Ju l-S ep 16 O ct -D ec 16 Oct-Dec 2011 Oct-Dec 2012 Oct-Dec 2013 Oct-Dec 2014 Oct-Dec 2015 Oct-Dec 2016 Median time to start treatment 4 (minutes) 25 27 29 30 28 27 90th percentile time to start treatment 5 (minutes) 92 100 93 96 93 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 trans For more information, see Background Paper: Approaches to reporting time measures of emergency department performance, December 2011. PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 4 of 9 Western Sydney Local Health District 12 -J un Ap r -M ar Ja n O ct -D ec 11 0 Shaded area shows transition to a new patient record system (if applicable) District group 1 hospitals (C1) Time in minutes 200 More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Time patients waited to start treatment, triage 4 October to December 2016 Same period last year Semi-urgent (e.g. sprained ankle, earache) Triage 4 Number of triage 4 patients: 2,579 2,702 3 Number of triage 4 patients used to calculate waiting time: 2,443 Median time to start treatment NSW (this period) 4 2,461 37 minutes 90th percentile time to start treatment 5 108 minutes 39 minutes 25 minutes 113 minutes 97 minutes Percentage of triage 4 patients who received treatment by time, October to December 2016 Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. Patients who received treatment (%) 100 80 60 This ED 40 NSW 20 0 0 20 40 60 80 100 120 140 160 180 200 220 240 260 280 Minutes from presentation until treatment Time patients waited to start treatment(minutes) for triage 4 patients, October 2011 to December 2016 90th percentile time to start treatment 150 Median time to start treatment 100 50 12 Ju l-S ep 12 O ct -D ec 12 Ja nM ar 13 Ap r-J un 13 Ju l-S ep 13 O ct -D ec 13 Ja nM ar 14 Ap r-J un 14 Ju l-S ep 14 O ct -D ec 14 Ja nM ar 15 Ap r-J un 15 Ju l-S ep 15 O ct -D ec 15 Ja nM ar 16 Ap r-J un 16 Ju l-S ep 16 O ct -D ec 16 Oct-Dec 2011 Median time to start treatment 4 (minutes) 90th percentile time to start treatment 5 (minutes) Oct-Dec 2012 Oct-Dec 2013 Oct-Dec 2014 Oct-Dec 2015 Oct-Dec 2016 56 47 41 43 39 37 160 133 114 118 113 108 ( ) 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 trans For more information, see Background Paper: Approaches to reporting time measures of emergency department performance, December 2011. PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 5 of 9 Western Sydney Local Health District 12 -J un Ap r -M ar Ja n O ct -D ec 11 0 Shaded area shows transition to a new patient record system (if applicable) District group 1 hospitals (C1) Time in minutes 200 More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Time patients waited to start treatment, triage 5 October to December 2016 Same period last year Non-urgent (e.g. small cuts or abrasions) Triage 5 Number of triage 5 patients: 991 919 3 Number of triage 5 patients used to calculate waiting time: 864 Median time to start treatment NSW (this period) 4 787 34 minutes 90th percentile time to start treatment 5 112 minutes 38 minutes 24 minutes 118 minutes 103 minutes Percentage of triage 5 patients who received treatment by time, October to December 2016 Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. Patients who received treatment (%) 100 80 60 This ED 40 NSW 20 0 0 20 40 60 80 100 120 140 160 180 200 220 240 260 280 Minutes from presentation until treatment Time patients waited to start treatment(minutes) for triage 5 patients, October 2011 to December 2016 90th percentile time to start treatment 150 Median time to start treatment 100 50 12 Ju l-S ep 12 O ct -D ec 12 Ja nM ar 13 Ap r-J un 13 Ju l-S ep 13 O ct -D ec 13 Ja nM ar 14 Ap r-J un 14 Ju l-S ep 14 O ct -D ec 14 Ja nM ar 15 Ap r-J un 15 Ju l-S ep 15 O ct -D ec 15 Ja nM ar 16 Ap r-J un 16 Ju l-S ep 16 O ct -D ec 16 Oct-Dec 2011 Median time to start treatment 4 (minutes) 90th percentile time to start treatment 5 (minutes) Oct-Dec 2012 Oct-Dec 2013 Oct-Dec 2014 Oct-Dec 2015 Oct-Dec 2016 58 36 39 42 38 34 173 134 120 120 118 112 ( ) 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 trans For more information, see Background Paper: Approaches to reporting time measures of emergency department performance, December 2011. PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 6 of 9 Western Sydney Local Health District 12 -J un Ap r -M ar Ja n O ct -D ec 11 0 Shaded area shows transition to a new patient record system (if applicable) District group 1 hospitals (C1) Time in minutes 200 More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Time patients spent in the ED October to December 2016 Same period last year NSW (this period) 1 All presentations: 8,063 patients 7,969 6 Presentations used to calculate time to leaving the ED: 8,050 patients Median time spent in the ED 8 7,969 3 hours and 1 minutes 90th percentile time spent in the ED 9 8 hours and 23 minutes 3 hours and 15 minutes 2 hours and 41 minutes 8 hours and 52 minutes 6 hours and 54 minutes Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. Percentage of patients who left the ED by time, October to December 2016 Patients who left the ED (%) 100 80 60 This ED NSW 40 20 0 0 1 2 3 4 5 6 7 8 9 10 11 12 Hours from presentation until leaving the ED Time patients spent in the ED, by quarter, October 2011 to December 2016 15 90th percentile time spent in the ED 10 Median time spent in the ED Shaded area shows transition to a new patient record system (if applicable) 5 12 Ju l-S ep 12 O ct -D ec 12 Ja nM ar 13 Ap r-J un 13 Ju l-S ep 13 O ct -D ec 13 Ja nM ar 14 Ap r-J un 14 Ju l-S ep 14 O ct -D ec 14 Ja nM ar 15 Ap r-J un 15 Ju l-S ep 15 O ct -D ec 15 Ja nM ar 16 Ap r-J un 16 Ju l-S ep 16 O ct -D ec 16 12 Median time to leaving the ED 8 (hours, minutes) 90th percentile time to leaving the ED 9 (hours, minutes) Oct-Dec 2011 Oct-Dec 2012 Oct-Dec 2013 Oct-Dec 2014 Oct-Dec 2015 Oct-Dec 2016 4h 28m 4h 13m 3h 30m 3h 28m 3h 15m 3h 1m 10h 25m 10h 54m 8h 45m 10h 3m 8h 52m 8h 23m ( ) 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 trans For more information, see Background Paper: Approaches to reporting time measures of emergency department performance, December 2011. PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 7 of 9 Western Sydney Local Health District -J un Ap r -M ar Ja n O ct -D ec 11 0 District group 1 hospitals (C1) Time in hours 20 More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Time patients spent in the ED By mode of separation October to December 2016 Same period Change since last year one year ago 1 All presentations: 8,063 patients Presentations used to calculate time to leaving the ED: 6 8,050 patients 5,272 (65.4%) Treated and discharged Treated and admitted to hospital 1,353 (16.8%) Patient left without, or before completing, treatment 7,969 1.0% 5,193 1.5% 1,383 -2.2% 460 14.1% 927 -1.7% 6 -66.7% 525 (6.5%) 911 (11.3%) Transferred to another hospital 2 (0%) Other Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. Percentage of patients who left the ED by time and mode of separation, October to December 2016 Patients who left the ED (%) 100 80 All presentations Treated and discharged 60 Treated and admitted to hospital 40 Patients left without, or before completing, treatment 20 Transferred to another hospital 0 0 1 2 3 4 5 6 7 8 9 10 11 12 Hours from presentation until leaving the ED Treated and admitted to hospital Patient left without, or before completing, treatment Transferred to another hospital All presentations 12.9% 36.8% 63.4% 88.0% 96.4% 99.1% 99.7% 99.9% 1.3% 3.3% 11.4% 34.3% 55.2% 71.0% 79.5% 85.3% 18.0% 46.2% 71.3% 90.4% 98.3% 99.6% 100% 100% 1.1% 7.4% 14.2% 22.4% 38.7% 52.3% 66.3% 74.6% 10.0% 28.5% 49.7% 71.8% 83.1% 89.1% 92.6% 94.6% ( ) 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 trans For more information, see Background Paper: Approaches to reporting time measures of emergency department performance, December 2011. PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 8 of 9 Western Sydney Local Health District Treated and discharged 2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours District group 1 hospitals (C1) 1 hour More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer Mount Druitt Hospital: Time spent in the ED Percentage of patients who spent four hours or less in the ED Same period Change since last year one year ago October to December 2016 All presentations at the emergency department:1 8,063 patients 6 Presentations used to calculate time to leaving the ED: 8,050 patients Percentage of patients who spent four hours or less in the ED 71.8% 7,969 1.2% 7,969 1.0% 69.1% 100 Percentage of patients who spent four hour or less in the ED 80 60 Shaded area shows transition to a new patient record system (if applicable) 40 20 12 Ju l-S ep 12 O ct -D ec 12 Ja nM ar 13 Ap r-J un 13 Ju l-S ep 13 O ct -D ec 13 Ja nM ar 14 Ap r-J un 14 Ju l-S ep 14 O ct -D ec 14 Ja nM ar 15 Ap r-J un 15 Ju l-S ep 15 O ct -D ec 15 Ja nM ar 16 Ap r-J un 16 Ju l-S ep 16 O ct -D ec 16 -J un Ap r -M ar ct -D ec Ja n O 12 0 11 Patients who left within four hours (%) Percentage of patients who spent four hours or less in the ED, by quarter, October 2011 to December 2016 Mount Druitt Hospital From March 2017, Hospital Quarterly reports the 90th percentile time, rather than the 95th percentile time, for related ED measures. Patients who left within four hours (%) Oct-Dec 2011 Oct-Dec 2012 Oct-Dec 2013 Oct-Dec 2014 Oct-Dec 2015 Oct-Dec 2016 43.7% 47.3% 60.7% 62.8% 69.1% 71.8% PERFORMANCE PROFILES: Emergency department care October to December 2016 www.bhi.nsw.gov.au Page 9 of 9 Western Sydney Local Health District 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 presentations at the emergency department (ED). 2. All presentations 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 90th percentile is the time by which 90% of patients started treatment. The final105% of patients took equal to or longer than this time. 6. All presentations 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 90th percentile is the time by which 90% of patients left the ED. The final 10% 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 are rounded and therefore percentages may not add to 100%. Sources: ED data from Health Information Exchange, NSW Health (extracted 24 January 2017). Transfer of care data from Transfer of Care Reporting System (extracted 24 January 2017). District group 1 hospitals (C1) *
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