2010-11 Annual Report - Taranaki District Health Board
2010-11 Annual Report - Taranaki District Health Board
2010-11 Annual Report - Taranaki District Health Board
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Statement of Service Performance<br />
20<strong>11</strong> <strong>Annual</strong> <strong>Report</strong><br />
Acute Services (emergency<br />
department, inpatient,<br />
outpatient)<br />
Shorter stays<br />
in emergency<br />
department<br />
Acute readmission<br />
rate (per 1000<br />
patients)<br />
94% 95% 96% Achieved<br />
10.40% 10.40% <strong>11</strong>.39% Not Achieved<br />
For the current Quarter an improvement<br />
from 2239 to 1989 re-admissions would<br />
be required (250 admissions) assuming<br />
consistent volumes of discharges and Case<br />
Complexity mix.<br />
The trends for the types of admissions that<br />
re-admit nationally are generally related to<br />
Abdominal Pain, Pulmonary/Respiratory,<br />
Poisoning, and other infections. <strong>Taranaki</strong><br />
DHB see similar trends with higher than<br />
national levels.<br />
TDHB staff attended the <strong>Health</strong> Roundtable<br />
Workshop in Wellington on May 12, 13<br />
focussing on cardiac and respiratory<br />
conditions and variances in Average Length<br />
of Stays and readmissions rates. The<br />
benchmarking data provided by the <strong>Health</strong><br />
Roundtable confirms a problem for <strong>Taranaki</strong><br />
DHB in this area.<br />
Percentage<br />
of total acute<br />
admissions that<br />
were treated as<br />
day-stay cases<br />
Investigation has shown that there is little<br />
affect from categorisation or coding on<br />
these rates and <strong>Taranaki</strong> DHB is actively<br />
exploring options to address this issue.<br />
40% 18% 42% Not Achieved<br />
Active planning to reduce Average Length<br />
of Stay (ALOS) is underway as part of both<br />
the Productive Ward, Acute pathway and<br />
Productive Theatre work streams within the<br />
DHB.<br />
Maternity Services<br />
Assessment Treatment and<br />
Rehabilitation Services<br />
Reduced length<br />
of stay for acute<br />
admissions<br />
Number of<br />
deliveries<br />
Neonatal length<br />
of stay<br />
Reduced<br />
caesarean section<br />
rate<br />
No’s of patient<br />
discharged home<br />
from Inpatient<br />
services<br />
<strong>Taranaki</strong> DHB anticipates that there will a<br />
significant change in the performance of<br />
the DHB against these measures over the<br />
coming six months.<br />
4.03 days 4.01 days 4.21 days Not Achieved<br />
As Above<br />
1,419 1,419 1,427 Achieved<br />
15.09 days ≤15.09 days 12 days Achieved<br />
25% of total<br />
births<br />