View June's Board Pack - Royal Bournemouth Hospital

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<strong>Board</strong> of Directors10 June 2011CONSULTANT UPGRADETumour Site Reason for BreachPatient needed thoracoscopy but was not keen to haveLungit, later changed mind and was then referred to SGHfor surgical thoracoscopy.3 18 Weeks Referral To TreatmentMaximum wait of 18 weeks from GP referral to treatment (90% for admitted. 95% fornon-admitted)Admitted Pathways (Target 90%)The Trust achieved 96.6% for the aggregate admitted performance in April withalmost all specialities achieving the 90% target. Orthopaedics achieved 89.5%.Part 1a - Total Admitted Patients Clock StoppedCodeSpecialtyRTT Performance TotalNo's % No's100 General Surgery 454 96.8% 469101 Urology 374 100.0% 374110 Trauma & Orthopaedics 552 89.5% 617120 ENT 0 - 0130 Ophthalmology 659 97.8% 674140 Oral surgery 18 100.0% 18150 Neurosurgery 0 - 0160 Plastic surgery 0 - 0170 Cardiothoracic Surgery 0 - 0300 General medicine 368 99.7% 369301 Gastroenterology 0 - 0320 Cardiology 268 99.3% 270330 Dermatology 234 98.3% 238340 Thoracic Med 2 100.0% 2400 Neurology 0 - 0410 Rheumatology 54 100.0% 54430 Eld Med 0 - 0502 Gynaecology 121 93.8% 129Other 93 96.9% 96Total 3197 96.6% 3310Non-Admitted Pathways (Target 95%)The Trust achieved 99.7% for the aggregate non-admitted performance in March. Allspecialities achieved the 95% target.Performance Monitoring Page 2 of 11For Information
<strong>Board</strong> of Directors10 June 2011Part 1b - Total Non-Admitted Patients Clock StoppedCodeSpecialty CodeRTT Performance TotalNo's % No's100 General Surgery 403 99.5% 405101 Urology 90 100.0% 90110 Trauma & Orthopaedics 158 99.4% 159120 ENT 121 98.4% 123130 Ophthalmology 420 100.0% 420140 Oral surgery 86 100.0% 86150 Neurosurgery 0 - 0160 Plastic surgery 0 - 0170 Cardiothoracic Surgery 0 - 0300 General medicine 320 100.0% 320301 Gastroenterology 0 - 0320 Cardiology 142 100.0% 142330 Dermatology 236 100.0% 236340 Thoracic Med 163 100.0% 163400 Neurology 75 97.4% 77410 Rheumatology 178 98.9% 180430 Eld Med 0 - 0502 Gynaecology 222 99.6% 223Other 671 100.0% 671Total 3285 99.7% 3295Median and 95 th Percentile RTT PerformanceThe Trust is performing well against both median and 95 th percentiles for admittedand non admitted patients in April. The aggregate 95 th percentile will become aMonitor and SHA target from April 2011 with the SHA also monitoring the medianwait.Target(wks) Feb-11 Mar-11 Apr-1195th Percentile 23 17.6 17.6 17.4Admitted Median Wait 11.1 5.2 5.4 5.4Non 95th Percentile 18.3 13.1 13.6 13.2Admitted Median Wait 6.6 3.8 3.5 3.6RTT Data Completeness IndicatorThis measure has been removed from the DoH reporting requirements as analternative more appropriate indicator is being sought.4 4 Hour Emergency TargetEmergency accessPerformance Monitoring Page 3 of 11For Information
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Figure 1: HRG, procedure and diagno
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Key areas for improvements15 The ke
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Detailed reportIntroduction22 The P
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31 The remaining 100 FCEs were sele
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40 The HRG error rate at the Trust
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The net value of the HRGs that chan
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Follow up of previous year’s reco
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60 A summary of the key results wil
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Appendix 2 - Action Plan (Trust)Rec
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Appendix 3 - Specialty A - General
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Financial impact of errorsTable 10:
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Example 2ID Speclty 300 ThemeEpisod
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only mentioned in the discharge sum
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changePrice of net change -£47 -0.
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72 The following areas for improvem
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HRGs and price changes as a result
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pre-audit sampleoutside of PbRPost-
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■■provide training to the coder
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Analysis of errors - Chapter JC - S
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Appendix 6 - HRG area EB01Z - Nonin
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Analysis of errors - HRG EB01Z:All
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KEYDESCRIPTIONcoding. This is where
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Catering UpdateThe first phase of t
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Board of Directors - Part I10 th Ju
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What Who Board Where of Directors B
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