A guide to commissioning cardiac surgical services - NHS ...
A guide to commissioning cardiac surgical services - NHS ...
A guide to commissioning cardiac surgical services - NHS ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
A <strong>guide</strong> <strong>to</strong> <strong>commissioning</strong> <strong>cardiac</strong> <strong>surgical</strong> <strong>services</strong><br />
Admission on Day of Surgery<br />
Reduction in length of stay for elective <strong>cardiac</strong> surgery patients, reduced from<br />
an average of 8.8 days in Q3 08/09, <strong>to</strong> 7.6 days in Q3 2009/10.<br />
60<br />
Percentage<br />
50<br />
40<br />
30<br />
20<br />
Cardiac Network<br />
project commenced<br />
Surgical pathway<br />
coordina<strong>to</strong>r in place<br />
Transformation<br />
team involved<br />
Days<br />
11<br />
10<br />
9<br />
8<br />
Length of Stay - Elective Cardiac Surgery<br />
Cardiac Network<br />
project commenced<br />
Surgical pathway<br />
coordina<strong>to</strong>r in place<br />
Transformation<br />
team involved<br />
10<br />
0<br />
AoD commenced<br />
Apr08 Jun08 Aug08 Oct08 Dec08 Feb09 Apr09 Jun09 Aug09 Oct09 Dec09<br />
May08 Jul08 Sep08 Nov08 Jan09 Mar09 May09 Jul09 Sep09 Nov09<br />
% CS AoD (actual) % TS AoD (target)<br />
Linear (% CS AoD)<br />
7<br />
6<br />
5<br />
AoD commenced<br />
Apr08 Jun08 Aug08 Oct08 Dec08 Feb09 Apr09 Jun09 Aug09 Oct09 Dec09<br />
May08 Jul08 Sep08 Nov08 Jan09 Mar09 May09 Jul09 Sep09 Nov09<br />
Cardiac Surgery Elective LoS<br />
Linear (Cardiac Surgery Elective LoS)<br />
Baseline figures<br />
Percentage of admitted on the day<br />
Baseline figures<br />
Length of stay for elective <strong>cardiac</strong> surgery<br />
Mean Median Range<br />
Mean Median Range<br />
April - March 2008/09<br />
8.5%<br />
8.0%<br />
1-15%<br />
April - March 2008/09<br />
8.8<br />
8.8<br />
8-11 days<br />
April 2009 - present<br />
20.9%<br />
21.1%<br />
10-31%<br />
April 2009 - present<br />
7.4<br />
7.7<br />
6-8 days<br />
Oct - Dec 2008/09 average<br />
9.9%<br />
7.7%<br />
2-20%<br />
Oct - Dec 2008/09 average<br />
8.8<br />
8.3<br />
8-9 days<br />
Oct - Dec 2009/10 average<br />
24.6%<br />
25.0%<br />
19-30%<br />
Oct - Dec 2009/10 average<br />
7.6<br />
7.8<br />
7-8 days<br />
www.improvement.nhs.uk/heart<br />
13
Change language