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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 />

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