Lismore Base Hospital: Emergency department (ED) overview
April to June 2016
Same period Change since
last year one year ago
All presentations:1 7,477 patients
2
Emergency presentations: 7,218 patients
7,692
-2.8%
7,390
-2.3%
Lismore Base Hospital: Time patients waited to start treatment 3
April to June 2016
Same period
last year
Triage 2
Emergency (e.g. chest pain, severe burns): 854 patients
95th percentile time to start treatment
5
Triage 3
18 minutes
Urgent (e.g. moderate blood loss, dehydration): 2,530 patients
94 minutes
95th percentile time to start treatment5
Semi-urgent (e.g. sprained ankle, earache): 3,050 patients
143 minutes
5
95th percentile time to start treatment
Triage 5
8 minutes
22 minutes
36 minutes
26 minutes
20 minutes
113 minutes
92 minutes
3,126
34 minutes
Median time to start treatment4
6 minutes
2,456
20 minutes
Median time to start treatment4
Triage 4
860
5 minutes
Median time to start treatment4
42 minutes
25 minutes
179 minutes
128 minutes
Non-urgent (e.g. small cuts or abrasions): 738 patients
892
35 minutes
Median time to start treatment4
5
95th percentile time to start treatment
NSW
(this period)
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
146 minutes
42 minutes
23 minutes
180 minutes
132 minutes
Lismore Base Hospital: Time from presentation until leaving the ED
Same period Change since
last year one year ago
Attendances used to calculate time to leaving the ED:6 7,477 patients
Percentage of patients who spent
four hours or less in the ED
7,691
66.1%
-2.8%
65.7%
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 95th percentile is the time by which 95% of patients started treatment. The final 5% 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 19 July 2016).
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 1 of 9
Major hospitals (B)
*
1.
2.
3.
Northern NSW Local Health District
April to June 2016
Lismore Base Hospital: Patients presenting to the emergency department
April to June 2016
Same period Change since
last year one year ago
1
All presentations: 7,477 patients
2
Emergency presentations by triage category: 7,218 patients
1
Resuscitation
2
Emergency
Semi-urgent
5
Non-urgent
-2.8%
7,390
-2.3%
56
-17.9%
860
-0.7%
2,456
3.0%
3,126
-2.4%
892
-17.3%
46 (0.6%)
854 (11.8%)
3 Urgent
4
7,692
2,530 (35.1%)
3,050 (42.3%)
738 (10.2%)
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
2
Emergency presentations by quarter, April 2011 to June 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)
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0
Apr-Jun
2011
Apr-Jun
2012
Apr-Jun
2013
Apr-Jun
2014
Apr-Jun
2015
Apr-Jun
2016
83
58
57
67
56
46
Resuscitation
Emergency
745
784
654
782
860
854
Urgent
2,129
2,256
2,301
2,462
2,456
2,530
Semi-urgent
3,053
3,172
3,057
2,818
3,126
3,050
858
778
904
916
892
738
6,868
7,048
6,973
7,045
7,390
7,218
Non-urgent
All emergency presentations
Lismore Base Hospital: Patients arriving by ambulance
April to June 2016
Same period Change since
last year one year ago
7
Arrivals used to calculate transfer of care time: 1,646 patients
1,593
15 minutes
95th percentile time
80 minutes
17 minutes
-2 minutes
91 minutes
-11 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.
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 2 of 9
Northern NSW Local Health District
Median time
Major hospitals (B)
ED Transfer of care time
Lismore Base Hospital: Time patients waited to start treatment, triage 2
April to June 2016
Same period
last year
Emergency (e.g. chest pain, severe burns)
Triage 2
Number of triage 2 patients: 854
860
3
Number of triage 2 patients used to calculate waiting time: 849
Median time to start treatment
NSW
(this period)
4
856
5 minutes
95th percentile time to start treatment 5
18 minutes
6 minutes
8 minutes
22 minutes
36 minutes
Percentage of triage 2 patients who received treatment by time, April to June 2016
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
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, April 2011 to June 2016
50
95th percentile
time to start
treatment
Time in minutes
40
Median
time to start
treatment
30
20
10
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15
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15
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15
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16
Ap
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16
0
Shaded area
shows transition
to a new patient
record system
(if applicable)
95th percentile time to start treatment 5
(minutes)
Apr-Jun
2013
Apr-Jun
2014
Apr-Jun
2015
Apr-Jun
2016
7
7
6
5
6
5
31
25
18
21
22
18
( ) 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.
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 3 of 9
Northern NSW Local Health District
Median time to start treatment 4
(minutes)
Apr-Jun
2012
Major hospitals (B)
Apr-Jun
2011
Lismore Base Hospital: Time patients waited to start treatment, triage 3
April to June 2016
Same period
last year
Urgent (e.g. moderate blood loss, dehydration)
Triage 3
Number of triage 3 patients: 2,530
2,456
3
Number of triage 3 patients used to calculate waiting time: 2,487
Median time to start treatment
NSW
(this period)
4
2,407
20 minutes
95th percentile time to start treatment 5
94 minutes
26 minutes
20 minutes
113 minutes
92 minutes
Percentage of triage 3 patients who received treatment by time, April to June 2016
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
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, April 2011 to June 2016
Time in minutes
200
95th percentile
time to start
treatment
150
Median
time to start
treatment
100
50
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0
Shaded area
shows transition
to a new patient
record system
(if applicable)
95th percentile time to start treatment 5
(minutes)
Apr-Jun
2013
Apr-Jun
2014
Apr-Jun
2015
Apr-Jun
2016
26
23
22
22
26
20
129
111
106
104
113
94
( ) 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.
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 4 of 9
Northern NSW Local Health District
Median time to start treatment 4
(minutes)
Apr-Jun
2012
Major hospitals (B)
Apr-Jun
2011
Lismore Base Hospital: Time patients waited to start treatment, triage 4
April to June 2016
Same period
last year
Semi-urgent (e.g. sprained ankle, earache)
Triage 4
Number of triage 4 patients: 3,050
3,126
3
Number of triage 4 patients used to calculate waiting time: 2,844
Median time to start treatment
NSW
(this period)
4
2,876
34 minutes
95th percentile time to start treatment 5
143 minutes
42 minutes
25 minutes
179 minutes
128 minutes
Percentage of triage 4 patients who received treatment by time, April to June 2016
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
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, April 2011 to June 2016
250
95th percentile
time to start
treatment
Time in minutes
200
Median
time to start
treatment
150
100
50
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16
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16
0
Shaded area
shows transition
to a new patient
record system
(if applicable)
95th percentile time to start treatment 5
(minutes)
Apr-Jun
2013
Apr-Jun
2014
Apr-Jun
2015
Apr-Jun
2016
45
42
40
33
42
34
212
191
168
151
179
143
( ) 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.
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 5 of 9
Northern NSW Local Health District
Median time to start treatment 4
(minutes)
Apr-Jun
2012
Major hospitals (B)
Apr-Jun
2011
Lismore Base Hospital: Time patients waited to start treatment, triage 5
April to June 2016
Same period
last year
Non-urgent (e.g. small cuts or abrasions)
Triage 5
Number of triage 5 patients: 738
892
3
Number of triage 5 patients used to calculate waiting time: 635
Median time to start treatment
NSW
(this period)
4
735
35 minutes
95th percentile time to start treatment 5
146 minutes
42 minutes
23 minutes
180 minutes
132 minutes
Percentage of triage 5 patients who received treatment by time, April to June 2016
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
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, April 2011 to June 2016
250
95th percentile
time to start
treatment
Time in minutes
200
Median
time to start
treatment
150
100
50
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16
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16
0
Shaded area
shows transition
to a new patient
record system
(if applicable)
95th percentile time to start treatment 5
(minutes)
Apr-Jun
2013
Apr-Jun
2014
Apr-Jun
2015
Apr-Jun
2016
53
56
53
40
42
35
209
203
178
162
180
146
( ) 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.
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 6 of 9
Northern NSW Local Health District
Median time to start treatment 4
(minutes)
Apr-Jun
2012
Major hospitals (B)
Apr-Jun
2011
Lismore Base Hospital: Time patients spent in the ED
April to June 2016
Same period
last year
NSW
(this period)
1
All presentations: 7,477 patients
7,692
6
Presentations used to calculate time to leaving the ED: 7,477 patients
Median time spent in the ED 8
7,691
2 hours and 49 minutes
95th percentile time spent in the ED 9
12 hours and 19 minutes
2 hours and
54 minutes
2 hours and
42 minutes
13 hours and
38 minutes
9 hours and
47 minutes
Percentage of patients who left the ED by time, April to June 2016
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
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, April 2011 to June 2016
Time in hours
24
18
95th percentile
time spent in
the ED
12
Median time
spent in the ED
Shaded area
shows transition
to a new patient
record system
(if applicable)
6
Ap
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16
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0
95th percentile time to leaving the ED 9
(hours, minutes)
4h 24m
17h 38m
3h 50m
Apr-Jun
2013
3h 31m
Apr-Jun
2014
2h 42m
17h 3m 17h 26m 12h 21m
Apr-Jun
2015
2h 54m
Apr-Jun
2016
2h 49m
13h 38m 12h 19m
( ) 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.
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 7 of 9
Northern NSW Local Health District
Median time to leaving the ED 8
(hours, minutes)
Apr-Jun
2012
Major hospitals (B)
Apr-Jun
2011
Lismore Base Hospital: Time patients spent in the ED
By mode of separation
April to June 2016
Same period Change since
last year one year ago
1
All presentations: 7,477 patients
Presentations used to calculate time to leaving the ED: 6 7,477 patients
3,756 (50.2%)
Treated and discharged
Treated and admitted to hospital
3,350 (44.8%)
Patient left without, or before
completing, treatment
7,691
-2.8%
3,907
-3.9%
3,326
0.7%
388
-20.1%
310 (4.1%)
Transferred to another hospital
18 (0.2%)
17
5.9%
Other
43 (0.6%)
54
-20.4%
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
Percentage of patients who left the ED by time and mode of separation, April to June 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
19.9%
53.6%
74.8%
87.3%
96.2%
98.4%
99.3%
99.7%
3.4%
12.1%
25.2%
39.3%
62.5%
75.9%
84.3%
88.7%
38.7%
74.2%
88.7%
94.8%
98.1%
99.0%
99.7%
100%
5.6%
16.7%
33.3%
33.3%
66.7%
83.3%
94.4%
94.4%
13.6%
35.9%
53.2%
66.1%
81.1%
88.3%
92.6%
94.8%
( ) 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.
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 8 of 9
Northern NSW Local Health District
Treated and discharged
2 hours 3 hours 4 hours 6 hours 8 hours 10 hours 12 hours
Major hospitals (B)
1 hour
Lismore Base 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
April to June 2016
All presentations at the emergency department:1 7,477 patients
6
Presentations used to calculate time to leaving the ED: 7,477 patients
Percentage of patients who spent
four hours or less in the ED
66.1%
7,692
-2.8%
7,691
-2.8%
65.7%
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
0
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Patients who left within four hours (%)
Percentage of patients who spent four hours or less in the ED, by quarter, April 2011 to June 2016
Lismore Base Hospital
More information is available on BHI's interactive portal at www.bhi.nsw.gov.au/healthcare_observer
Patients who left within four hours (%)
Apr-Jun
2011
Apr-Jun
2012
Apr-Jun
2013
Apr-Jun
2014
Apr-Jun
2015
Apr-Jun
2016
46.4%
52.1%
55.3%
70.6%
65.7%
66.1%
PERFORMANCE PROFILES: Emergency department care
April to June 2016
www.bhi.nsw.gov.au
Page 9 of 9
Northern NSW 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 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 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 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 are rounded and therefore percentages may not add to 100%.
Sources: ED data from Health Information Exchange, NSW Health (extracted 19 July 2016).
Transfer of care data from Transfer of Care Reporting System (extracted 15 July 2016).
Major hospitals (B)
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