WA Health Performance Report

WA Health Performance Report
October to December 2013 Quarter
WA Health Performance Report | October to December 2013 Quarter
Contents
List of Acronyms Notes At a Glance WA Health System Performance Statewide WA Health System Performance Metropolitan WA Health System Performance Country 1. Public Hospital Separations 1.1 Separations 1.2 Acute Separations 1.3 Elective Acute Separations 1.4 Acute Medical Separations 1.5 Acute Surgical Separations 1.6 Renal Dialysis Separations 1.7 Acute Average Length of Stay 1.8 Newborn Separations 2. Public Hospital Capacity 2.1 Available Active Sameday Beds 2.2 Available Active Overnight Beds 2.3 Occupancy of Overnight beds 3. Elective Surgery Wait List 3.1 Patients on the Elective Surgery Wait List 3.2 Admissions from Elective Surgery Wait List 3.3 Median Waiting Time (In Months) 4. Public Emergency Departments (ED) 4.1 Total Emergency Department Attendances 4.2 ED Triage 1 4.3 ED Triage 2 4.4 ED Triage 3 4.5 ED Triage 4 4.6 ED Triage 5 4.7 Admissions from Emergency Departments iii v vii vii ix xi 1 1 2 3 4 5 6 7 8 9 9 10 11 12 13 14 15 16 17 18 19 20 21 Introduction iv
Contents i

5. Mental Health 5.1 Mental Health Separations 5.2 Mental Health Outpatients 6. Ambulatory Surgery Initiative (ASI) 6.1 Ambulatory Surgery Initiative Cases 7. Public Dental Clinics 7.1 Dental Visits 7.2 Dental Clinic Waiting List 8. Activity General Practitioner (GP) After Hours Clinics 8.1 Clients attending GP After Hours Clinics 9. National Elective Surgery Targets 9.1 Elective Surgery Wait List Category 1 Cases Treated (Admitted) within Clinically Recommended Time 9.2 Elective Surgery Wait List Category 2 Cases Treated (Admitted) within Clinically Recommended Time 9.3 Elective Surgery Wait List Category 3 Cases Treated (Admitted) within Clinically Recommended Time 9.4 Average Overdue Wait Time (Days) for Category 1 Cases 9.5 Average Overdue Wait Time (Days) for Category 2 Cases 9.6 Average Overdue Wait Time (Days) for Category 3 Cases 10. National Emergency Access Target (NEAT) 10.1 NEAT Total Emergency Department Attendances 10.2 NEAT Total Admissions from Emergency Department 10.3 NEAT Percentage of Emergency Department Attendances Admitted 10.4 NEAT Total Mental Health Admissions from Emergency Department 10.5 NEAT Total Emergency Department Attendances Transferred to another Hospital 10.6 NEAT Percentage of Emergency Department Attendances with Length of Episode (LOE) of Four Hours or Less 10.7 NEAT Percentage of Emergency Department Attendances with LOE greater than Twelve Hours 10.8 NEAT Percentage of Emergency Department Admissions with LOE of Four Hours or Less 10.9 NEAT Percentage of Emergency Department Transfers with LOE of Four Hours or Less 10.10 NEAT Percentage of Emergency Department Departures with LOE of Four Hours or Less 10.11 Ambulance Ramping 11. Data Denitions and Business Rules
22 23 24 24 25 25 26 27 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47
Contents ii
List of Acronyms
ACEM AH AIHW AKMH ASI BH BRH DHS ED EDDC FH GH GP HCARe HHC HMDC JHC KEMH KH The Australasian College of Emergency Medicine Albany Hospital Australian Institute of Health and Welfare Armadale-Kelmscott Memorial Hospital Ambulatory Surgery Initiative Broome Hospital Bunbury Regional Hospital Dental Health Services Emergency Department Emergency Department Data Collection Fremantle Hospital Geraldton Hospital General Practitioner Health Care and Related Information System Hedland Health Campus Hospital Morbidity Data Collection Joondalup Health Campus King Edward Memorial Hospital Kalgoorlie Hospital LOE MHIS NBH NEAT NEST NGOs NPA PHC PMH RGH RPH SCGH SDH SJAA TOPAS WA webPAS WLDC YTD Length of Episode Mental Health Information System Nickol Bay Hospital National Emergency Access Target National Elective Surgery Target Non Government Organisations National Partnership Agreement Peel Health Campus Princess Margaret Hospital Rockingham General Hospital Royal Perth Hospital Sir Charles Gairdner Hospital Swan District Hospital St John Ambulance Australia The Open Patient Administration System Western Australia Web-based Patient Administration System Wait List Data Collection Year to date
List of Acronyms iii
Introduction
Western Australias (WA) public health system aims to ensure healthier, longer and better lives for all West Australians and to improve and protect the health of our community by providing a safe, high-quality, accountable and sustainable health care system. WA Health is focused on managing improvements in health performance, particularly in the areas of Emergency Demand, Elective Surgery, Outpatients and Mental Health. WA Health is committed to meeting the National Elective Surgery Target (NEST) and National Emergency Access Target (NEAT) reforms outlined in The National Health Reform Agreement National Partnership Agreement on Improving Public Hospital Services. The purpose of the WA Health Performance Report is to provide information to monitor WA Healths performance at the state, metropolitan and country level. Performance information is reported on a quarterly basis for: n Hospital separations n Hospital capacity n Elective surgery wait list n Emergency Departments n Mental Health n Ambulatory Surgery Initiative n Dental Care n General Practitioner After Hours n National Elective Surgery Target Indicators n National Emergency Access Target Indicators. To interpret the gures including symbols in this report, refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69). The report supports governments policies of accountability and commitment to informing consumers and makes information on system performance readily accessible to WA Health staff to support the management and planning of services.
Introduction iv
11. Notes
1
Discharges refers to the count of separations. Figures represent the average number of available active sameday beds/chairs for a weekday (Monday-Friday) of the last month of the quarter. Available active includes all beds/ chairs that are immediately available for use. Figures represent the average number of available active overnight beds on each day for the last month of the quarter. Available active includes all overnight beds that are immediately available for use. Figures reect patients waiting for elective surgery on the last day of the quarter. Figures are calculated as the percentage variation from the Dec 2012 to Dec 2013 quarters. Figures for mental health separations are preliminary for the December 2013 quarter. Figures for mental health services at outpatient clinics are preliminary for the December 2013 quarter. Figures represent the number of people waiting for dental services on the last day of the quarter. National Partnership Agreement (NPA) National Elective Surgery Target (NEST) Indicator. Data includes National Emergency Access Target (NEAT) participating hospitals only refer to page 35. Data includes National Emergency Access Target (NEAT) participating hospitals only, excluding Peel Health Campus as a result of data capture system limitations refer to page 35. Ramping data includes the following metropolitan hospitals: Princess Margaret, Royal Perth, Sir Charles Gairdner, Fremantle, Armadale-Kelmscott Memorial, King Edward Memorial, Rockingham General, Swan District, Joondalup Health Campus and Peel Health Campus. Figures represent the percentage of occupied overnight beds to total available active overnight beds for the last month of the quarter. Available active includes all overnight beds that are immediately available for use. Data includes Royal Perth, Sir Charles Gairdner, Fremantle, Princess Margaret, Armadale-Kelmscott Memorial, Rockingham General, King Edward Memorial, Swan District, Joondalup Health Campus and Peel Health Campus. Data includes Royal Perth, Sir Charles Gairdner, Fremantle, Princess Margaret, Armadale-Kelmscott Memorial, Rockingham General, King Edward Memorial, Swan District, and Joondalup Health Campus. Excludes Peel Health Campus as a result of data capture system limitations. Data includes Bunbury Regional Hospital, Albany Hospital, Geraldton Hospital, Kalgoorlie Hospital, Nickol Bay Hospital and Hedland Health Campus.
10
11
12
13
14
15
16
N/A+ December 2012 quarter to December 2013 quarter comparison is not available due to December 2013 quarter data not being complete. The data will be available in future reports. ^ Data is not complete for the quarter.
Notes v

For sections 1.1 to 2.3; 3.2; 4.1 to 7.1; 9.1 to 9.3; 10.1 to 10.10, gures are preliminary. Figures may change within the 2011-12, 2012-13 and 2013-2014 reporting period due to timing of coding and editing. For sections 5.1 and 5.2, gures are preliminary and will all be updated with each quarterly report to reect potential delays in reporting due to the timing of clinical coding and editing. For sections 10.1 to 10.10, the extraction dates for the National Emergency Access Target indicators differ from other indicators in this report. Refer to the Data Denitions and Business Rules Section for extraction dates. For section 10.4, Metropolitan excludes Peel Health Campus. For ambulance ramping (section 10.11), ambulance ramping is not applicable to country hospitals.
Notes vi
At a Glance
WA Health System Performance Statewide
October to December 2013 136,540 people were discharged from hospital1 128,069 acute admissions that have been discharged from hospital1 67,283 elective acute admissions that have been discharged from hospital1 88,014 acute medical admissions that have been discharged from hospital1 34,024 acute surgical admissions that have been discharged from hospital1 31,311 renal dialysis admissions that have been discharged from hospital1 2.75 days acute average length of stay for discharged patients1 6,259 newborn admissions that have been discharged from hospital1 16,017 patients on elective surgery wait list4 21,434 admissions from the elective surgery wait list 1.97 months median waiting time for patients on elective surgery wait list4 249,178 99.2% 87.8% 63.1% 76.3% 96.1% 56,625 2,975 201,947 2,145 109,701 11,662 14,458 people attended emergency departments Triage 1 patients were seen within recommended time (immediately) Triage 2 patients were seen within recommended time (10 minutes) Triage 3 patients were seen within recommended time (30 minutes) Triage 4 patients were seen within recommended time (1 hour) Triage 5 patients were seen within recommended time (2 hours) people were admitted into hospitals from emergency departments people were discharged from mental health units6 attendances at mental health outpatient clinics7 Ambulatory Surgery Initiative cases visits to dental clinics people waiting for services at dental clinics8 people attended a General Practitioner After Hours service Compared to October to December 2012 2,981 less discharged from hospital, or 2.1% decrease1 3,205 less acute admissions that have been discharged from hospital, or 2.4% decrease1 95 more elective acute admissions that have been discharged from hospital, or 0.1% increase1 3,243 less acute medical admissions that have been discharged from hospital, or 3.6% decrease1 167 less acute surgical admissions that have been discharged from hospital, or 0.5% decrease1 245 less renal dialysis admissions that have been discharged from hospital, or 0.8% decrease1 0.02 days more average length of stay for acute admissions that have been discharged from hospital, or 0.6% increase1 52 less newborn admissions that have been discharged from hospital, or 0.8% decrease1 651 more patients on the elective surgery wait list, or 4.2% increase4 447 more admissions from the elective surgery wait list, or 2.1% increase 0.03 months less waiting time for patients on elective surgery wait list, or 1.6% decrease4 362 more emergency department attendances, or 0.1% increase 0.4% decease in Triage 1 patients seen within recommended time (immediately)5 5.6% increase in Triage 2 patients seen within recommended time (10 minutes)5 6.0% increase in Triage 3 patients seen within recommended time (30 minutes)5 4.0% increase in Triage 4 patients seen within recommended time (1 hour)5 0.4% increase in Triage 5 patients seen within recommended time (2 hours)5 547 more hospital admissions from emergency departments, or 1.0% increase 116 less people discharged from mental health units, or 3.8% decrease6 3,743 more attendances at mental health outpatient clinics, or 1.9% increase7 630 less Ambulatory Surgery Initiative cases, or 22.7% decrease N/A+ visits to dental clinics 15,056 less people waiting for dental clinic services, or 56.4% decrease8 1,093 less people attended a General Practitioner After Hours service, or 7.0% decrease
At a Glance vii
WA Health System Performance Statewide (cont.)

October to December 2013 National Elective Surgery Target Indicators 95.9% elective surgery Category 1 cases treated within recommended time9 89.4% elective surgery Category 2 cases treated within recommended time9 97.7% elective surgery Category 3 cases treated within recommended time9 12.90 days average overdue wait time for elective surgery Category 1 cases4,9 Compared to October to December 2012 11.1% 9.0% 1.3% 0.79
increase in Category 1 cases treated within recommended time9 increase in Category 2 cases treated within recommended time9 increase in Category 3 cases treated within recommended time9 days more wait time for Category 1 cases on elective surgery wait list, or 6.5% increase4,9 55.03 days average overdue wait time for elective surgery Category 2 cases4,9 0.82 days more wait time for Category 2 cases on elective surgery wait list, or 1.5% increase4,9 75.84 days average overdue wait time for elective surgery Category 3 cases4,9 8.91 days more wait time for Category 3 cases on elective surgery wait list, or 13.3% increase4,9 National Emergency Access Target Indicators** (data is for participating hospitals only refer to page 35) 2,658 more emergency department attendances, or 1.4% increase10 196,907 people attended emergency departments10 10 51,127 people were admitted to hospital from emergency departments 1,792 more admissions from emergency departments, or 3.6% increase10 26.0% emergency department attendances who were admitted10 2.2% increase in emergency department attendances who were admitted10 3,195^ mental health patients admitted to hospital from emergency departments11 N/A+ mental health admissions from emergency departments11 10 2.2% emergency department attendances transferred to another hospital 6.9% decrease in emergency department attendances transferred to another hospital10 79.3% emergency department attendances with length of episode (LOE) 1.6% increase in emergency department attendances with LOE of four hours of four hours or less10 or less10 10 2.1% emergency department attendances with LOE greater than twelve hours 19.8% increase in emergency department attendances with LOE greater than twelve hours10 54.7% emergency department admissions with LOE of four hours or less10 8.4% increase in emergency department admissions with LOE of four hours or less10 56.5% emergency department transfers with LOE of four hours or less10 0.2% decrease in emergency department transfers with LOE of four hours or less10 10 89.0% emergency department departures with LOE of four hours or less 0.5% increase in emergency department departures with LOE of four hours or less10 3,159.4 ambulance ramping hours12 278.5 more hours of ambulance ramping, or 9.7% increase12 Refer to the Notes section (pages v to vi) and the Data Definitions and Business Rules (pages 47 to 69) for information on how to interpret the figures including symbols in this report.
At a Glance viii
WA Health System Performance Metropolitan

October to December 2013 105,988 people were discharged from hospital 99,193 acute admissions that have been discharged from hospital1
1
Compared to October to December 2012 2,679 less discharged from hospital, or 2.5% decrease1 2,916 less acute admissions that have been discharged from hospital, or 2.9% decrease1 344 more elective acute admissions that have been discharged from hospital, or 0.7% increase1 3,294 less acute medical admissions that have been discharged from hospital, or 4.6% decrease1 239 more acute surgical admissions that have been discharged from hospital, or 0.9% increase1 632 less renal dialysis admissions that have been discharged from hospital, or 2.6% decrease1 0.02 days more average length of stay for acute admissions that have been discharged from hospital, or 0.6% increase1 47 less newborn admissions that have been discharged from hospital, or 0.9% decrease1 18 more average number of available active sameday beds/chairs, or 4.7% increase2 23 more average number of available active overnight beds, or 0.7% increase3 0.9% 324 655 0.10 3,305 0.2% 7.6% 12.5% 8.2% 1.9% 942 84 1,358 592 increase in overnight bed occupancy13 more patients on the elective surgery wait list, or 2.7% increase4 more admissions from the elective surgery wait list, or 3.9% increase months less waiting time for patients on elective surgery wait list, or 5.1% decrease4 more emergency department attendances, or 2.2% increase decrease in Triage 1 patients seen within recommended time (immediately)5 increase in Triage 2 patients seen within recommended time (10 minutes)5 increase in Triage 3 patients seen within recommended time (30 minutes)5 increase in Triage 4 patients seen within recommended time (1 hour)5 increase in Triage 5 patients seen within recommended time (2 hours)5 more hospital admissions from emergency departments, or 2.2% increase less people discharged from mental health units, or 3.2% decrease6 less attendances at mental health outpatient clinics, or 0.8% decrease7 less Ambulatory Surgery Initiative cases, or 22.6% decrease
52,582 elective acute admissions that have been discharged from hospital1 67,931 acute medical admissions that have been discharged from hospital1 25,581 acute surgical admissions that have been discharged from hospital1 23,741 renal dialysis admissions that have been discharged from hospital1 2.91 days acute average length of stay for discharged patients1 4,978 newborn admissions that have been discharged from hospital1 393 average number of available active sameday (occupied and unoccupied) beds/chairs2 3,261 average number of available active overnight (occupied and unoccupied) beds3 81.3% overnight bed occupancy13 12,409 patients on elective surgery wait list4 17,402 admissions from the elective surgery wait list 1.84 months median waiting time for patients on elective surgery wait list4 151,454 99.7% 85.5% 50.6% 66.2% 92.4% 43,708 2,570 162,549 2,026 people attended emergency departments Triage 1 patients were seen within recommended time (immediately) Triage 2 patients were seen within recommended time (10 minutes) Triage 3 patients were seen within recommended time (30 minutes) Triage 4 patients were seen within recommended time (1 hour) Triage 5 patients were seen within recommended time (2 hours) people were admitted into hospitals from emergency departments people were discharged from mental health units6 attendances at mental health outpatient clinics7 Ambulatory Surgery Initiative cases
At a Glance ix
WA Health System Performance Metropolitan (cont.)

October to December 2013 30,174^ visits to dental clinics 14,458 people attended a General Practitioner After Hours service National Elective Surgery Target Indicators 95.4% elective surgery Category 1 cases treated within recommended time9 87.5% elective surgery Category 2 cases treated within recommended time9 97.5% elective surgery Category 3 cases treated within recommended time9 12.90 days average overdue wait time for elective surgery Category 1 cases4,9 Compared to October to December 2012 N/A+ visits to dental clinics 1,093 less people attended a General Practitioner After Hours service, or 7.0% decrease 12.5% 9.8% 1.6% 0.49
increase in Category 1 cases treated within recommended time9 increase in Category 2 cases treated within recommended time9 increase in Category 3 cases treated within recommended time9 days more wait time for Category 1 cases on elective surgery wait list, or 3.9% increase4,9 55.03 days average overdue wait time for elective surgery Category 2 cases4,9 0.25 days more wait time for Category 2 cases on elective surgery wait list, or 0.5% increase4,9 4,9 100.30 days average overdue wait time for elective surgery Category 3 cases 35.81 days more wait time for Category 3 cases on elective surgery wait list, or 55.5% increase4,9 National Emergency Access Target Indicators** (data is for participating hospitals only refer to page 35) 151,781 people attended emergency departments14 3,669 more emergency department attendances, or 2.5% increase14 14 43,241 people were admitted to hospital from emergency departments 1,721 more admissions from emergency departments, or 4.1% increase14 28.5% emergency department attendances who were admitted14 1.6% increase in emergency department attendances who were admitted14 2,686 mental health patients admitted to hospital from emergency departments15 202 less mental health admissions from emergency departments, or 7.0% decrease15 14 2.6% emergency department attendances transferred to another hospital 9.9% decrease in emergency department attendances transferred to another hospital14 77.7% emergency department attendances with length of episode (LOE) of four 2.7% increase in emergency department attendances with LOE of four hours hours or less14 or less14 2.6% emergency department attendances with LOE greater than twelve hours14 17.8% increase in emergency department attendances with LOE greater than twelve hours14 14 54.9% emergency department admissions with LOE of four hours or less 10.8% increase in emergency department admissions with LOE of four hours or less14 57.2% emergency department transfers with LOE of four hours or less14 - no change in emergency department transfers with LOE of four hours or less14 88.0% emergency department departures with LOE of four hours or less14 1.0% increase in emergency department departures with LOE of four hours or less14 12 3,159.4 ambulance ramping hours 278.5 more hours of ambulance ramping, or 9.7% increase12
Refer to the Notes section (pages v to vi) and the Data Definitions and Business Rules (pages 47 to 69) for information on how to interpret the figures including symbols in this report.
At a Glance x
WA Health System Performance Country

October to December 2013 30,552 people were discharged from hospital 28,876 acute admissions that have been discharged from hospital1
1
Compared to October to December 2012 302 less discharged from hospital, or 1.0% decrease1 289 less acute admissions that have been discharged from hospital, or 1.0% decrease1 249 less elective acute admissions that have been discharged from hospital, or 1.7% decrease1 51 more acute medical admissions that have been discharged from hospital, or 0.3% increase1 406 less acute surgical admissions that have been discharged from hospital, or 4.6% decrease1 387 more renal dialysis admissions that have been discharged from hospital, or 5.4% increase1 0.02 days more average length of stay for acute admissions that have been discharged from hospital, or 1.0% increase1 5 less newborn admissions that have been discharged from hospital, or 0.4% decrease1 327 more patients on the elective surgery wait list, or 10.0% increase4 208 less admissions from the elective surgery wait list, or 4.9% decrease 0.20 months less waiting time for patients on elective surgery wait list, or 8.2% decrease4 2,943 less emergency department attendances, or 2.9% decrease 1.6% decrease in Triage 1 patients seen within recommended time (immediately)5 0.2% increase in Triage 2 patients seen within recommended time (10 minutes)5 0.7% increase in Triage 3 patients seen within recommended time (30 minutes)5 1.1% increase in Triage 4 patients seen within recommended time (1 hour)5 0.3% decrease in Triage 5 patients seen within recommended time (2 hours)5 395 less hospital admissions from emergency departments, or 3.0% decrease 32 less people discharged from mental health units, or 7.3% decrease6 5,101 more attendances at mental health outpatient clinics, or 14.9% increase7 38 less Ambulatory Surgery Initiative cases, or 24.2% decrease n/a+ visits to dental clinics
14,701 elective acute admissions that have been discharged from hospital1 20,083 acute medical admissions that have been discharged from hospital1 8,443 acute surgical admissions that have been discharged from hospital1 7,570 renal dialysis admissions that have been discharged from hospital1 2.19 days acute average length of stay for discharged patients1 1,281 newborn admissions that have been discharged from hospital1 3,608 patients on elective surgery wait list4 4,032 admissions from the elective surgery wait list 2.20 months median waiting time for patients on elective surgery wait list4 97,724 96.9% 93.8% 88.7% 91.3% 97.8% 12,917 405 39,398 119 9,227^ people attended emergency departments Triage 1 patients were seen within recommended time (immediately) Triage 2 patients were seen within recommended time (10 minutes) Triage 3 patients were seen within recommended time (30 minutes) Triage 4 patients were seen within recommended time (1 hour) Triage 5 patients were seen within recommended time (2 hours) people were admitted into hospitals from emergency departments people were discharged from mental health units6 attendances at mental health outpatient clinics7 Ambulatory Surgery Initiative cases visits to dental clinics
At a Glance xi
WA Health System Performance Country (cont.)

October to December 2013 National Elective Surgery Target Indicators 99.7% elective surgery Category 1 cases treated within recommended time9 99.6% elective surgery Category 2 cases treated within recommended time9 Compared to October to December 2012
4.7% increase in Category 1 cases treated within recommended time9 6.2% increase in elective surgery Category 2 cases treated within recommended time9 9 98.1% elective surgery Category 3 cases treated within recommended time 0.6% increase in elective surgery Category 3 cases treated within recommended time9 0.00 days average overdue wait time for elective surgery Category 1 cases4,9 7.75 days more wait time for Category 1 cases on elective surgery wait list, or 100% increase4,9 0.00 days average overdue wait time for elective surgery Category 2 cases4,9 24.67 days less wait time for Category 2 cases on elective surgery wait list, or 100.0% decrease4,9 4,9 50.93 days average overdue wait time for elective surgery Category 3 cases 21.47 days less wait time for Category 3 cases on elective surgery wait list, or 29.7% decrease4,9 National Emergency Access Target Indicators** (data is for participating hospitals only refer to page 35) 45,126 people attended emergency departments16 1,011 less emergency department attendances, or 2.2% decrease16 7,886 people were admitted to hospital from emergency departments16 71 more admissions from emergency departments, or 0.9% increase16 17.5% emergency department attendances who were admitted16 3.2% increase in emergency department attendances who were admitted16 16 509^ mental health patients admitted to hospital from emergency departments N/A+ mental health admissions from emergency departments16 0.8% emergency department attendances transferred to another hospital16 29.7% increase in emergency department attendances transferred to another hospital16 84.7% emergency department attendances with length of episode (LOE) of four 1.2% decrease in emergency department attendances with LOE of four hours hours or less16 or less16 16 0.7% emergency department attendances with LOE greater than twelve hours 34.2% increase in emergency department attendances with LOE greater than twelve hours16 53.8% emergency department admissions with LOE of four hours or less16 2.9% decrease in emergency department admissions with LOE of four hours or less16 48.5% emergency department transfers with LOE of four hours or less16 2.4% increase in emergency department transfers with LOE of four hours or less16 16 91.7% emergency department departures with LOE of four hours or less 0.6% decrease in emergency department departures with LOE of four hours or less16 Refer to the Notes section (pages v to vi) and the Data Definitions and Business Rules (pages 47 to 69) for information on how to interpret the figures including symbols in this report.
At a Glance x
1. Public Hospital Separations

1.1 Separations
What do these gures show?
For the December 2013 quarter, there were 2,981 (or 2.1%) less public hospital separations compared with the December 2012 quarter. For the same period, metropolitan public hospital separations decreased by 2,679 (or 2.5%) and country public hospital separations decreased by 302 separations (or 1.0%). Separations includes all public hospitals and public patients at Joondalup and Peel Health Campuses.
110,000
No. of separations
Figure 1: Public hospital separations (WA State)
Previous (Mar '12 Qtr - Dec '12 Qtr)
150,000
Current (Mar '13 Qtr - Dec '13 Qtr)
140,000
130,000
120,000
100,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 1: Public hospital separations*

Area Metropolitan Country WA State March 2012 Quarter 104,001 29,438 133,439 June 2012 Quarter 105,046 30,148 135,194 September 2012 Quarter 108,848 31,089 139,937 December 2012 Quarter 108,667 30,854 139,521 March 2013 Quarter 105,060 29,406 134,466 June 2013 Quarter 108,298 30,025 138,323 September 2013 Quarter 106,517 31,179 137,696 December 2013 Quarter 105,988 30,552 136,540 % change Dec12 to Dec13 Quarters -2.5% -1.0% -2.1%
* Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
Public Hospital Separations 1
1.2 Acute Separations

For the December 2013 quarter, there were 3,205 (or 2.4%) less public hospital acute separations compared with the December 2012 quarter. For the same period, metropolitan public hospital acute separations decreased by 2,916 (or 2.9%) and country public hospital acute separations decreased by 289 separations (or 1.0%).
No. of acute separations
Figure 2: Public hospital acute separations (WA State)
Previous
Current (M
Previous (Mar '12 Qtr - Dec '12 Qtr) 140,000 Current (Mar '13 Qtr - Dec '13 Qtr)
Acute separations includes all public hospitals and public patients at Joondalup and Peel Health Campuses.
130,000
120,000
110,000
100,000
90,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 2: Public hospital acute separations*

Area Metropolitan Country March 2012 Quarter 97,793 27,735 June 2012 Quarter 98,745 28,372 September 2012 Quarter 102,300 29,327 December 2012 Quarter 102,109 29,165 March 2013 Quarter 98,702 27,660 June 2013 Quarter 101,578 28,366 September 2013 Quarter 99,593 29,466 December 2013 Quarter 99,193 28,876 % change Dec12 to Dec13 Quarters -2.9% -1.0%
WA State 125,528 127,117 131,627 131,274 126,362 129,944 129,059 128,069 -2.4% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
1.3 Elective Acute Separations

For the December 2013 quarter, there were 95 (or 0.1%) more public hospital elective acute separations compared with the December 2012 quarter. For the same period, metropolitan public hospital elective acute separations increased by 344 (or 0.7%) and country public hospital elective acute separations decreased by 249 separations (or 1.7%). Elective acute separations includes all public hospitals and public patients at Joondalup and Peel Health Campuses.
Figure 3: Public hospital elective acute separations (WA State)
70,000
No. of elective acute separations
65,000
60,000
55,000
50,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 3: Public hospital elective acute separations*

Area Metropolitan Country WA State March 2012 Quarter 49,799 14,012 63,811 June 2012 Quarter 50,557 14,667 65,224 September 2012 Quarter 52,370 15,230 67,600 December 2012 Quarter 52,238 14,950 67,188 March 2013 Quarter 49,755 13,323 63,078 June 2013 Quarter 52,674 14,184 66,858 September 2013 Quarter 53,231 14,919 68,150 December 2013 Quarter 52,582 14,701 67,283 % change Dec12 to Dec13 Quarters 0.7% -1.7% 0.1%

Previous (Mar '12 Qtr - Dec '12 Qtr) Current (Mar '13 Qtr - Dec '13 Qtr)
1.4 Acute Medical Separations

For the December 2013 quarter, there were 3,243 (or 3.6%) less public hospital acute medical separations compared with the December 2012 quarter. For the same period, metropolitan public hospital acute medical separations decreased by 3,294 (or 4.6%) and country public hospital acute medical separations increased by 51 separations (or 0.3%). Acute medical separations includes all public hospitals and public patients at Joondalup and Peel Health Campuses.
Figure 4: Public hospital acute medical separations (WA State)
Previous (Mar '12 Qtr - Dec '12 Qtr) 100,000 No. of acute medical separations Current (Mar '13 Qtr - Dec '13 Qtr)
90,000
80,000
70,000
60,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 4: Public hospital acute medical separations*

Area Metropolitan Country WA State March 2012 Quarter 69,063 19,548 88,611 June 2012 Quarter 70,308 19,458 89,766 September 2012 Quarter 71,869 20,184 92,053 December 2012 Quarter 71,225 20,032 91,257 March 2013 Quarter 69,442 19,790 89,232 June 2013 Quarter 70,476 19,800 90,276 September 2013 Quarter 67,919 20,650 88,569 December 2013 Quarter 67,931 20,083 88,014 % change Dec12 to Dec13 Quarters -4.6% 0.3% -3.6%


1.5 Acute Surgical Separations

For the December 2013 quarter, there were 167 (or 0.5%) less public hospital acute surgical separations compared with the December 2012 quarter. For the same period, metropolitan public hospital acute surgical separations increased by 239 (or 0.9%) and country public hospital acute surgical separations decreased by 406 separations (or 4.6%). Acute surgical separations includes all public hospitals and public patients at Joondalup and Peel Health Campuses.
Figure 5: Public hospital acute surgical separations (WA State)
Previous (Mar '12 Qtr - Dec '12 Qtr) 40,000 No. of acute surgical separations Current (Mar '13 Qtr - Dec '13 Qtr)
35,000
30,000
25,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 5: Public hospital acute surgical separations*

Area Metropolitan Country WA State March 2012 Quarter 23,896 8,007 31,903 June 2012 Quarter 23,429 8,752 32,181 September 2012 Quarter 24,755 8,975 33,730 December 2012 Quarter 25,342 8,849 34,191 March 2013 Quarter 24,253 7,501 31,754 June 2013 Quarter 25,488 8,208 33,696 September 2013 Quarter 25,795 8,477 34,272 December 2013 Quarter 25,581 8,443 34,024 % change Dec12 to Dec13 Quarters 0.9% -4.6% -0.5%


1.6 Renal Dialysis Separations

For the December 2013 quarter, renal dialysis separations were 245 (or 0.8%) less compared with the December 2012 quarter. For the same period, metropolitan renal dialysis separations decreased by 632 (or 2.6%) and country renal dialysis separations increased by 387 (or 5.4%).
No. renal dialysis separations 35,000
Figure 6: Number of renal dialysis separations (WA State)

Figures show renal dialysis treatment for patients at public hospitals and include public patients at Joondalup and Peel Health Campuses. Includes public dialysis patient services contracted to non-government organisations.
30,000
25,000
20,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 6: Number of renal dialysis separations*

Area Metropolitan Country WA State March 2012 Quarter 24,616 6,435 31,051 June 2012 Quarter 24,502 6,472 30,974 September 2012 Quarter 23,436 7,040 30,476 December 2012 Quarter 24,373 7,183 31,556 March 2013 Quarter 23,947 6,766 30,713 June 2013 Quarter 24,415 6,893 31,308 September 2013 Quarter 24,011 7,446 31,457 December 2013 Quarter 23,741 7,570 31,311 % change Dec12 to Dec13 Quarters -2.6% 5.4% -0.8%

1.7 Acute Average Length of Stay

For the December 2013 quarter, the average length of stay for overall (sameday and overnight) acute separations was 0.02 days (or 0.6%) more than in the December 2012 quarter. For the same period, metropolitan public hospital average length of stay increased by 0.02 days (or 0.6%) and country public hospital average length of stay increased by 0.02 days (or 1.0%). Average length of stay includes all public hospitals and includes public patients at Joondalup and Peel Health Campuses. Note: Figures shown in the table are rounded to two decimal places. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than two decimal places, and therefore the change gures presented in the table and text may be slightly different to those calculated using the rounded gures in the table.
Acute average length of stay (in days)
Previous (Mar '12 Qtr - Dec '12 Qtr) Figure 7: Public hospital overall acute (sameday and overnight) Current (Mar '13 Qtr - Dec '13 Qtr) average length of stay (in days) (WA State)
3.00 2.90 2.80 2.70 2.60 2.50
March Qtr
June Qtr
September Qtr
December Qtr
Table 7: Public hospital overall acute (sameday and overnight) average length of stay (in days)*
Area Metropolitan Country WA State March 2012 Quarter 2.88 2.24 2.73 June 2012 Quarter 2.97 2.23 2.81 September 2012 Quarter 2.89 2.23 2.74 December 2012 Quarter 2.89 2.17 2.73 March 2013 Quarter 2.84 2.19 2.70 June 2013 Quarter 2.90 2.20 2.75 September 2013 Quarter 2.92 2.20 2.76 December 2013 Quarter 2.91 2.19 2.75 % change Dec12 to Dec13 Quarters 0.6% 1.0% 0.6%


1.8 Newborn Separations

The number of newborn separations decreased by 52 (or 0.8%) in the December 2013 quarter compared with the same quarter in 2012. For the same period, metropolitan public hospital newborn separations decreased by 47 (or 0.9%). There were 5 (or 0.4%) less newborn separations in public country hospitals for the December 2013 quarter compared with the December 2012 quarter.
No. of newborns
Figure 8: Number of public hospital newborns (WA State)
Previous (Mar '12 Qtr - Dec '12 Qtr) 6,600 6,400 6,200 6,000 5,800 5,600 5,400 5,200 Current (Mar '13 Qtr - Dec '13 Qtr)
Figures include newborns at all public hospitals and public patients at Joondalup and Peel Health Campuses.
March Qtr
June Qtr
September Qtr
December Qtr
Table 8: Public hospital newborns*

Area Metropolitan Country WA State March 2012 Quarter 4,833 1,323 6,156 June 2012 Quarter 4,843 1,352 6,195 September 2012 Quarter 4,875 1,317 6,192 December 2012 Quarter 5,025 1,286 6,311 March 2013 Quarter 5,086 1,411 6,497 June 2013 Quarter 5,091 1,354 6,445 September 2013 Quarter 5,083 1,307 6,390 December 2013 Quarter 4,978 1,281 6,259 % change Dec12 to Dec13 Quarters -0.9% -0.4% -0.8%

2. Public Hospital Capacity

2.1 Available Active Sameday Beds
Figures include the average number of available sameday beds/chairs at all public hospitals, excluding Joondalup and Peel Health Campuses. Note: Available active sameday beds/chairs includes all sameday beds/chairs that are immediately available for use. Figures shown in the table are rounded to whole numbers. The actual and % changes in gures between December 2012 and December 2013 are calculated using actual numbers that contain decimal places, and therefore the change gures presented in the table and text may be slightly different to those calculated using the rounded gures in the table.
Average number of available sameday beds/ chairs
Figure 9: Average available active sameday beds/chairs (Metropolitan)

Previous (Mar '12 - Dec '12) 500 Current (Mar '13 - Dec '13)
For December 2013, there were, on average, 18 (or 4.7%) more available sameday active beds/ chairs in metropolitan hospitals compared with the month of December 2012.
450
400
350
300
March
June
September
December
Table 9: Average number of available active sameday beds/chairs*,2

Area Metropolitan March 2012 430 June 2012 420 September 2012 410 December 2012 376 March 2013 401 June 2013 422 September 2013 421 December 2013 393 % change Dec12 to Dec13 4.7%
Public Hospital Capacity 9
2.2 Available Active Overnight Beds

For December 2013, there were, on average, 23 (or 0.7%) more available active overnight beds in metropolitan hospitals compared with the month of December 2012.
Average number of available overnight beds
Figure 10: Average number of available active overnight beds (Metropolitan)
Figures include the average number of available overnight beds at all public hospitals, excluding Joondalup and Peel Health Campuses. Note: Available active overnight beds includes all overnight beds that are immediately available for use. Figures shown in the table are rounded to whole numbers. The actual and % changes in gures between December 2012 and December 2013 are calculated using actual numbers that contain decimal places, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Previous (Mar '12 - Dec '12) 4,000 Current (Mar '13 - Dec '13)
3,500
3,000
2,500
2,000
March
June
September
December
Table 10: Average number of available active overnight beds*,3

Area Metropolitan March 2012 3,267 June 2012 3,322 September 2012 3,359 December 2012 3,238 March 2013 3,324 June 2013 3,388 September 2013 3,395 December 2013 3,261 % change Dec12 to Dec13 0.7%
2.3 Occupancy of Overnight beds

For December 2013, the average occupancy of overnight beds in metropolitan hospitals was 0.9% more compared with the same month in the previous year. Figures include the average number of occupied overnight beds at all public hospitals, excluding Joondalup and Peel Health Campuses. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between December 2012 and December 2013 are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 11: Average occupancy of overnight beds (Metropolitan)
Previous (Mar '12 - Dec '12) Percentage average occupancy of overnight beds 100.0% Current (Mar '13 - Dec '13 )
90.0%
80.0%
70.0%
60.0%
March
June
September
December
Table 11: Average occupancy of overnight beds*,13

Area Metropolitan March 2012 86.3% June 2012 87.2% September 2012 86.7% December 2012 80.6% March 2013 85.5% June 2013 87.2% September 2013 85.1% December 2013 81.3% % change Dec12 to Dec13 0.9%
3. Elective Surgery Wait List

3.1 Patients on the Elective Surgery Wait List
No. of patients on elective surgery wait list
Figure 12: Total patients on the elective surgery wait list (WA State)
Previous (31 Mar '12 - 31 Dec '12) 20,000 Current (31 Mar '13 - 31 Dec '13)
The number of patients on the elective surgery wait list as at 31 December 2013 was 651 (or 4.2%) higher than the number of patients waiting as at 31 December 2012. For the same period, patients waiting for elective surgery at metropolitan public hospitals increased by 324 (or 2.7%) and at country public hospitals increased by 327 (or 10.0%). Figures include all public hospital elective surgery wait lists and public patient wait lists at Joondalup and Peel Health Campuses.
18,000
16,000
14,000
12,000
10,000
31 March
30 June
30 September
31 December
Table 12: Total number of patients on the elective surgery wait list*,4
Area Metropolitan Country WA State 31 March 2012 12,982 3,746 16,728 30 June 2012 13,691 3,539 17,230 30 September 2012 12,579 3,415 15,994 31 December 2012 12,085 3,281 15,366 31 March 2013 12,661 3,591 16,252 30 June 2013 12,324 3,613 15,937 30 September 2013 11,809 3,619 15,428 31 December 2013 12,409 3,608 16,017 % change 31 Dec12 to 31 Dec13 2.7% 10.0% 4.2%
Elective Surgery Wait List 12
3.2 Admissions from Elective Surgery Wait List

The number of admissions from elective surgery wait lists in the December 2013 quarter was 447 (or 2.1%) higher than the number of admissions in the December 2012 quarter. For the same period, admissions from elective surgery wait lists at metropolitan public hospitals increased by 655 (or 3.9%) and at country public hospitals decreased by 208 (or 4.9%). Figures include all public hospital elective surgery wait lists and public patient wait lists at Joondalup and Peel Health Campuses.
No. of patients admitted from elective surgery wait list
Figure 13: Total admissions from the elective surgery wait list (WA State)
25,000
20,000
15,000
10,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 13: Total number admissions from elective surgery wait list*
3.3 Median Waiting Time (In Months)

The median waiting time for patients on the elective surgery wait list as at 31 December 2013 was 0.03 months (or 1.6%) less than the median waiting time as at 31 December 2012. For the same period, the median waiting time for patients on the elective surgery wait list at metropolitan public hospitals decreased by 0.10 months (or 5.1%) and the median waiting time at country public hospitals decreased by 0.20 months (or 8.2%). Figures include all public hospital elective surgery wait lists and public patient wait lists at Joondalup and Peel Health Campuses. Note: Figures shown in the table are rounded to two decimal places. The actual and % changes in gures between December 2012 and December 2013 are calculated using actual numbers that contain more than two decimal places, and therefore the change gures presented in the table and text may be slightly different to those calculated using the rounded gures in the table.
Figure 14: Total median waiting time (in months) for patients on the elective surgery wait list (WA State)
Previous (31 Mar '12 - 31 Dec '12) 3.00 Average waiting time (in months) Current (31 Mar '13 - 31 Dec '13)
2.50
2.00
1.50
1.00
31 March
30 June
30 September
31 December
Table 14: Total median waiting time (in months) for patients on the elective surgery wait list*,4
Area Metropolitan Country WA State 31 March 2012 2.10 1.78 2.01 30 June 2012 2.20 1.91 2.10 30 September 2012 1.94 1.91 1.94 31 December 2012 1.94 2.40 2.01 31 March 2013 1.74 1.74 1.74 30 June 2013 1.78 2.14 1.84 30 September 2013 1.78 1.81 1.78 31 December 2013 1.84 2.20 1.97 % change 31 Dec12 to 31 Dec13 -5.1% -8.2% -1.6%
4. Public Emergency Departments (ED)

4.1 Total Emergency Department Attendances
In the December 2013 quarter, there was an increase of 362 (or 0.1%) in total emergency department attendances in public hospitals compared with the same quarter in the previous year. For the same period, metropolitan public hospital emergency department attendances increased by 3,305 (or 2.2%). Country public hospital emergency department attendances decreased by 2,943 (or 2.9%). Metropolitan hospitals with an emergency department include Armadale-Kelmscott, Fremantle, Rockingham General, Swan District, Sir Charles Gairdner, Royal Perth, Joondalup Health Campus, Peel Health Campus, King Edward Memorial and Princess Margaret. Emergency Services at country hospitals are included.
No. of emergency department attendances
Figure 15: Total emergency department attendances (WA State)
260,000
240,000
220,000
200,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 15: Total emergency department attendances*

Area Metropolitan Country March 2012 Quarter 145,306 99,667 June 2012 Quarter 146,561 100,572 September 2012 Quarter 149,109 103,543 December 2012 Quarter 148,149 100,667 March 2013 Quarter 146,711 99,618 June 2013 Quarter 145,800 96,817 September 2013 Quarter 146,774 98,498 December 2013 Quarter 151,454 97,724 % change Dec12 to Dec13 Quarters 2.2% -2.9%
WA State 244,973 247,133 252,652 248,816 246,329 242,617 245,272 249,178 0.1% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
Public Emergency Departments 15
Previous (Mar '12 Qtr - Dec '12 Qtr) Current (Mar '13 Qtr - Dec '13 Qtr) Target
4.2 ED Triage 1
The Australasian College of Emergency Medicine (ACEM) recommends that 100% of Triage 1 emergency department patients are to be seen by a clinician immediately. Although this target was not achieved in the December 2013 quarter, 99.2% of patients were seen within the recommended time. This represents a 0.4% decrease in patients seen within the recommended time compared with the same quarter in the previous year. For the same period, the percentage of Triage 1 patients seen within the recommended time at metropolitan hospitals decreased by 0.2% and country hospitals decreased by 1.6%. Triage 1 gures are collated from all WA public hospitals that provide emergency department services, including public patients at Joondalup Health Campus and Peel Health Campus. Triage is a process used at emergency departments to determine the urgency of the patients need for medical and nursing care. Patients with life threatening or potentially life threatening conditions will be seen immediately in emergency departments. It is important to note that the ACEM targets are based on commencement of care by a nurse, mental health practitioner or other health professional. In the metropolitan area and selected EDs in the country, waiting times are based on the time taken for a patient to be seen by a doctor only. As such, the performance of these EDs does not align with the ACEM target denition. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Percentage of Triage 1 patients
Figure 16: Percentage of ED Triage 1 patients seen within recommended time (immediately) (WA State)
Previous (Mar '12 Qtr - Dec '12 Qtr) Current (Mar '13 Qtr - Dec '13 Qtr) Target 100%
95%
90%
85%
80%
March Qtr
June Qtr
September Qtr
December Qtr
Table 16: Percentage of ED Triage 1 patients seen within recommended time (immediately)*
Area Metropolitan Country March 2012 Quarter 97.3% 98.7% June 2012 Quarter 98.2% 98.1% September 2012 Quarter 99.6% 98.3% December 2012 Quarter 99.9% 98.5% March 2013 Quarter 99.5% 98.9% June 2013 Quarter 99.5% 98.1% September 2013 Quarter 98.4% 96.6% December 2013 Quarter 99.7% 96.9% % change Dec12 to Dec13 Quarters -0.2% -1.6%
WA State 97.6% 98.2% 99.4% 99.6% 99.4% 99.3% 98.1% 99.2% -0.4% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
4.3 ED Triage 2
The Australasian College of Emergency Medicine (ACEM) recommends that 80% of Triage 2 emergency department patients are to be seen by a clinician within ten minutes. This target was achieved in the December 2013 quarter, where 87.8% of patients were seen within the recommended time. This represents a 5.6% increase in patients seen within the recommended time compared with the same quarter in the previous year. For the same period, the percentage of Triage 2 patients seen within the recommended time at metropolitan hospitals increased by 7.6% and country hospitals increased by 0.2%. Triage 2 gures are collated from all WA public hospitals that provide emergency department services, including public patients at Joondalup Health Campus and Peel Health Campus. It is important to note that the ACEM targets are based on commencement of care by a nurse, mental health practitioner or other health professional. In the metropolitan area and selected EDs in the country, waiting times are based on the time taken for a patient to be seen by a doctor only. As such, the performance of these EDs does not align with the ACEM target denition. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 17: Percentage of ED Triage 2 patients seen within recommended time (10 minutes) (WA State)
90%
80%
70%
60%
50%
March Qtr
June Qtr
September Qtr
December Qtr
Table 17: Percentage of ED Triage 2 patients seen within recommended time (10 minutes)*
Area Metropolitan Country March 2012 Quarter 74.8% 91.5% June 2012 Quarter 76.9% 92.1% September 2012 Quarter 73.6% 91.3% December 2012 Quarter 79.5% 93.6% March 2013 Quarter 79.2% 93.6% June 2013 Quarter 80.7% 93.9% September 2013 Quarter 81.2% 91.2% December 2013 Quarter 85.5% 93.8% % change Dec12 to Dec13 Quarters 7.6% 0.2%
WA State 79.1% 80.8% 78.1% 83.1% 82.9% 84.1% 83.7% 87.8% 5.6% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
4.4 ED Triage 3
The Australasian College of Emergency Medicine (ACEM) recommends that 75% of Triage 3 emergency department patients are to be seen by a clinician within thirty minutes. This target was not achieved in the December 2013 quarter, where 63.1% of patients were seen within the recommended time. This represents a 6.0% increase in patients seen within the recommended time compared with the same quarter in the previous year.
Figure 18: Percentage of ED Triage 3 patients seen within recommended time (30 Minutes) (WA State)
Previous (Mar '12 Qtr - Dec '12 Qtr) Current (Mar '13 Qtr - Dec '13 Qtr) Target 75%
For the same period, the percentage of Triage 3 patients seen within the recommended time at metropolitan hospitals increased by 12.5% and country hospitals increased by 0.7%. Triage 3 gures are collated from all WA public hospitals that provide emergency department services, including public patients at Joondalup Health Campus and Peel Health Campus. It is important to note that the ACEM targets are based on commencement of care by a nurse, mental health practitioner or other health professional. In the metropolitan area and selected EDs in the country, waiting times are based on the time taken for a patient to be seen by a doctor only. As such, the performance of these EDs does not align with the ACEM target denition. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
65%
55%
45%
March Qtr
June Qtr
September Qtr
December Qtr
Table 18: Percentage of ED Triage 3 patients seen within recommended time (30 minutes)*
4.5 ED Triage 4
The Australasian College of Emergency Medicine (ACEM) recommends that 70% of Triage 4 emergency department patients are to be seen by a clinician within an hour. This target was achieved in the December 2013 quarter, where 76.3% of patients were seen within the recommended time. This represents a 4.0% increase in patients seen within the recommended time compared with the same quarter in the previous year. For the same period, the percentage of Triage 4 patients seen within the recommended time at metropolitan hospitals increased by 8.2% and country hospitals increased by 1.1%. Triage 4 gures are collated from all WA public hospitals that provide emergency department services, including public patients at Joondalup Health Campus and Peel Health Campus. It is important to note that the ACEM targets are based on commencement of care by a nurse, mental health practitioner or other health professional. In the metropolitan area and selected EDs in the country, waiting times are based on the time taken for a patient to be seen by a doctor only. As such, the performance of these EDs does not align with the ACEM target denition. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 19: Percentage of ED Triage 4 patients seen within recommended time (1 hour) (WA State)
90%
80%
70%
60%
50%
March Qtr
June Qtr
September Qtr
December Qtr
Table 19: Percentage of ED Triage 4 patients seen within recommended time (1 hour)*
4.6 ED Triage 5
The Australasian College of Emergency Medicine (ACEM) recommends that 70% of Triage 5 emergency department patients are to be seen by a clinician within two hours. This target was achieved in the December 2013 quarter, where 96.1% of patients were seen within the recommended time. Compared with the same quarter in the previous year, the number of patients seen within recommended time increased by 0.4%. For the same period, the percentage of Triage 5 patients seen within the recommended time at metropolitan hospitals increased by 1.9% and country hospitals decreased by 0.3%. Triage 5 gures are collated from all WA public hospitals that provide emergency department services, including public patients at Joondalup Health Campus and Peel Health Campus. It is important to note that the ACEM targets are based on commencement of care by a nurse, mental health practitioner or other health professional. In the metropolitan area and selected EDs in the country, waiting times are based on the time taken for a patient to be seen by a doctor only. As such, the performance of these EDs does not align with the ACEM target denition. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 20: Percentage of ED Triage 5 patients seen within recommended time (2 hours) (WA State)
100%
90%
80%
70%
60%
March Qtr
June Qtr
September Qtr
December Qtr
Table 20: Percentage of ED Triage 5 patients seen within recommended time (2 hours)*
Area Metropolitan Country March 2012 Quarter 91.7% 98.7% June 2012 Quarter 92.6% 98.2% September 2012 Quarter 89.3% 97.5% December 2012 Quarter 90.7% 98.0% March 2013 Quarter 88.1% 98.1% June 2013 Quarter 90.9% 97.9% September 2013 Quarter 91.9% 95.0% December 2013 Quarter 92.4% 97.8% % change Dec12 to Dec13 Quarters 1.9% -0.3%
4.7 Admissions from Emergency Departments

In the December 2013 quarter, there was an increase of 547 (or 1.0%) in total public hospital admissions from emergency departments compared with the same quarter in the previous year. For the same period, metropolitan public hospital admissions from emergency departments increased by 942 (or 2.2%). Country public hospital admissions from emergency departments decreased by 395 (or 3.0%). The gures include all WA public hospitals that provide emergency department services, including public patients at Joondalup Health Campus and Peel Health Campus.
Figure 21: Admissions from emergency departments (WA State)
Previous (Mar '12 Qtr - Dec '12 Qtr) Admissions from emergency departments 60,000 Current (Mar '13 Qtr - Dec '13 Qtr)
50,000
40,000
30,000
20,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 21: Admissions from emergency departments*

5. Mental Health
5.1 Mental Health Separations
Preliminary gures indicate that in the December 2013 quarter, there was a decrease of 116 (or 3.8%) public mental health separations compared with the same quarter in the previous year.
No. of mental health separations
Figure 22: Number of public mental health separations (WA State)
Previous (Mar '12 Qtr - Dec '12 Qtr) 3,200 3,000 2,800 2,600 2,400 2,200 2,000 1,800 Current (Mar '13 Qtr - Dec '13 Qtr)
Preliminary gures indicate that metropolitan public hospital mental health separations decreased by 84 (or 3.2%). For country public hospitals there were 32 (or 7.3%) less mental health admissions for the December 2013 quarter compared with the December 2012 quarter. Figures include mental health separations at all authorised hospitals and designated mental health inpatient units at public hospitals and the authorised mental health inpatient units at Joondalup Health Campus and Mercy Hospital. Peel Health Campus is excluded as it is not a designated mental health facility. Separations from mental health services can vary from year to year. Factors that can impact on separations during any year include availability of beds and stafng levels.
March Qtr
June Qtr
September Qtr
December Qtr
Table 22: Number of public mental health separations*

Area Metropolitan Country March 2012 Quarter 2,341 296 June 2012 Quarter 2,396 269 September 2012 Quarter 2,489 375 December 2012 Quarter 2,654 437 March 2013 Quarter 2,403 401 June 2013 Quarter 2,300 359 September 2013 Quarter 2,436 396 December 2013 Quarter 2,570 405 % change Dec12 to Dec13 Quarters -3.2% -7.3%
Mental Health 22
5.2 Mental Health Outpatients

Preliminary gures indicate that in the December 2013 quarter, there was an increase of 3,743 (or 1.9%) attendances for services at public mental health outpatient clinics compared with the same quarter in the previous year.
No. of outpatient mental health attendances
Figure 23: Number of attendances for mental health services at outpatient clinics (WA State)
Preliminary gures indicate that attendances for mental health outpatient services in the metropolitan area decreased by 1,358 (or 0.8%) and in the country attendances increased by 5,101 (or 14.9%) for the December 2013 quarter compared with the same quarter in the previous year. Figures include all public outpatient mental health services. All outpatient services for Peel and Joondalup areas are provided by the metropolitan public mental health services.
220,000
200,000
180,000
160,000
140,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 23: Number of attendances for mental health services at outpatient clinics*
Area Metropolitan Country WA State March 2012 Quarter 154,731 31,551 186,282 June 2012 Quarter 156,423 31,941 188,364 September 2012 Quarter 166,267 33,086 199,353 December 2012 Quarter 163,907 34,297 198,204 March 2013 Quarter 160,686 35,093 195,779 June 2013 Quarter 174,019 37,744 211,763 September 2013 Quarter 181,235 42,004 223,239 December 2013 Quarter 162,549 39,398 201,947 % change Dec12 to Dec13 Quarters -0.8% 14.9% 1.9%
Mental Health 23
6. Ambulatory Surgery Initiative (ASI)

6.1 Ambulatory Surgery Initiative Cases
In the December 2013 quarter, the number of ASI cases decreased by 630 (or 22.7%) compared with the same quarter in the previous year. The number of ASI cases in the metropolitan area decreased by 592 (or 22.6%) and in the country area there was a decrease of 38 cases (or 24.2%) in the December 2013 quarter compared with the same quarter in the previous year.
No. of ASI cases 4,000
Figure 24: Number of ASI cases (WA State)

3,000
2,000
1,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 24: Number of ASI cases*

Area Metropolitan Country March 2012 Quarter 2,934 123 June 2012 Quarter 2,959 164 September 2012 Quarter 3,150 117 December 2012 Quarter 2,618 157 March 2013 Quarter 2,492 152 June 2013 Quarter 3,004 113 September 2013 Quarter 2,590 114 December 2013 Quarter 2,026 119 % change Dec12 to Dec13 Quarters -22.6% -24.2%
Ambulatory Surgery Initiative 24
7. Public Dental Clinics

7.1 Dental Visits
In the December 2013 quarter, there was an increase of 3,602 (or 5.4%) in the number of visits to school dental health clinics compared with the same quarter in the previous year. Metropolitan and rural dental health clinics data is not complete for the December 2013 quarter as not all manual data collections have been completed. A direct comparison can not be made for the December 2012 and December 2013 quarters. Preliminary data currently collected electronically and some manually by Dental Health Services for the December 2013 quarter indicates that there has been an increase of 2,492 (or 9.0%) in the number of visits to metropolitan clinics and an increase of 1,599 (or 21.0%) in the number of visits to rural clinics. School Dental Service visits reported for the period 1 December 2012 to 31 December 2013 are estimates only, based on enrolment information provided by the Department of Education. For rural and metropolitan Dental Health Services, data shown consists of online (electronic, computer based) and ofine (manual collection using paper based forms) data up until the September 2013 quarter. Only online data is available for the December 2013 quarter since ofine data is 3 months in arrears. The data will be available in future reports. Comparisons between current quarter data and previous year quarter data is therefore not valid.
Figure 25: Number of visits to dental clinics (WA State)
120,000 No. of dental visits
110,000
100,000
90,000
80,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 25: Number of visits to dental clinics*

Area Metro Clinics Rural Clinics School Clinics WA State March 2012 Quarter 30,192 7,996 63,628 101,816 June 2012 Quarter 27,861 7,649 73,525 109,035 September 2012 Quarter 28,824 8,257 76,353 113,434 December 2012 Quarter 27,682 7,628 66,698 102,008 March 2013 Quarter 29,845 7,779 64,130 101,754 June 2013 Quarter 31,948 8,821 84,480 125,249 September 2013 Quarter 32,371 9,792 86,040 128,203 December 2013 Quarter 30,174^ 9,227^ 70,300 109,701^ % change Dec12 to Dec13 Quarters N/A+ N/A+ 5.4% N/A+
Public Dental Clinics 25
7.2 Dental Clinic Waiting List

The number of patients waiting for dental health clinic services as at 31 December 2013 decreased by 15,056 (or 56.4%) compared with the number of patients waiting as at 31 December 2012. The decrease has been due to an increase in services provided at general dental clinics as well as the allocation of Commonwealth funding from the National Partnership Agreement on treating more public dental patients. The Commonwealth funding has been the source of funds for the metropolitan patient subsidy scheme inviting public patients to go to private dentists to receive subsidised treatment. All patients were removed from the wait list as soon as they were offered this opportunity for treatment irrespective of whether they accepted the invitation.
Figure 26: Number of patients waiting for services at dental clinics (WA State)
Previous (31 Mar '12 - 31 Dec '12) 30,000 Current (31 Mar '13 - 31 Dec '13)
No. of patients waiting
20,000
10,000
31 March
30 June
30 September
31 December
Table 26: Number of patients waiting for services at dental clinics*,8

Area WA State 31 March 2012 24,856 30 June 2012 25,772 30 September 2012 26,124 31 December 2012 26,718 31 March 2013 23,447 30 June 2013 21,985 30 September 2013 14,359 31 December 2013 11,662 % change 31 Dec 12 to 31 Dec13 -56.4%
Public Dental Clinics 26
8. Activity General Practitioner (GP) After Hours Clinics

8.1 Clients attending GP After Hours Clinics
In the December 2013 quarter, there was a decrease of 1,093 (or 7.0%) clients attending GP After Hours clinics compared with the same quarter in the previous year. This is partially due to a number of GP surgeries extending their opening hours as well as new surgeries opening. This has allowed patients to have more choice when seeking medical attention after hours. Figures include GP After Hours clinics operating at Swan District Hospital, Joondalup Health Campus, Royal Perth Hospital, Fremantle Hospital and Rockingham General Hospital.
No. of clients attending
Figure 27: Number of Clients attending at GP After Hours clinics (Metropolitan)
20,000
15,000
10,000
5,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 27: Number of clients attending at the GP After Hours clinics*

Area March 2012 Quarter June 2012 Quarter September 2012 Quarter December 2012 Quarter 15,551 March 2013 Quarter 15,849 June 2013 Quarter 15,338 September 2013 Quarter 15,400 December 2013 Quarter 14,458 % change Dec12 to Dec13 Quarters -7.0%
Metropolitan 15,445 16,989 17,868
Activity General Practitioner After Hours Clinics 27
9. National Elective Surgery Targets

Did you know?
Many public patients in Australia wait longer than clinically recommended to have elective surgery. The Australian Government, under The National Health Reform Agreement National Partnership Agreement on Improving Public Hospital Services, is providing up to $650 million for improvements in access to elective surgery. The objective of the National Elective Surgery Target (NEST) is to progressively increase the number of elective surgeries performed so that 100% of patients receive their elective surgery within the clinically recommended time by 2016. Two complementary strategies are required in order to reach the NEST: Part 1: A stepped improvement in the number of patients treated within the clinically recommended time; and Part 2: A progressive reduction in the number of patients who are overdue for surgery, particularly patients who have waited the longest beyond the clinically recommended time. WA targets for these strategies are outlined below:
Proportion of cases treated within clinically recommended time

Category 1 2 3 31-Dec-12 94.0% 84.0% 98.0% 31-Dec-13 100.0% 88.0% 98.0% 31-Dec-14 100.0% 95.0% 98.5% 31-Dec-15 100.0% 100.0% 100.0%
Average overdue wait time (in days) for those that have waited beyond the clinically recommended time
Category 1 2 3 31-Dec-12 0 68 65 31-Dec-13 0 45 44 31-Dec-14 0 23 22 31-Dec-15 0 0 0
National Elective Surgery Targets 28
9.1 Elective Surgery Wait List Category 1 Cases Treated (Admitted) within Clinically Recommended Time
Under The National Health Reform Agreement National Partnership Agreement (NPA) on Improving Public Hospital Services, reward funding is made available to WA under the National Elective Surgery Target (NEST) initiative. The December 2013 target for Category 1 cases treated within the clinically recommended time is 100%. The target was not achieved for the 2013 calendar year, where 95.9% of cases were treated within the clinically recommended time. This represents a 11.1% increase in cases treated within the clinically recommended time compared to the 2012 calendar year. For the same period, the proportion of Category 1 cases treated within the clinically recommended time at metropolitan hospitals increased by 12.5% and at country hospitals increased by 4.7%. Figures include all public hospital elective surgery wait lists and the public patient wait lists at Joondalup and Peel Health Campuses.
Figure 28: Percentage of Category 1 cases treated (admitted) within clinically recommended time (WA State)
Mar '13 YTD - Dec '13 YTD Mar '12 YTD - Dec '12 YTD 87.4% Baseline (2010) Percentage of category 1 cases treated within recommended time 100% 95% 90% 85% 80% 75% 70% NPA Dec 2013 Target NPA Dec 2012 Target
March YTD
June YTD
September YTD
December YTD
Table 28: Percentage of Category 1 cases treated (admitted) within clinically recommended time*
Area Metropolitan Country March 2012 YTD 80.9% 85.7% June 2012 YTD 81.0% 90.5% September 2012 YTD 82.7% 93.4% December 2012 YTD 84.8% 95.2% March 2013 YTD 92.1% 99.7% June 2013 YTD 93.5% 99.4% September 2013 YTD 94.6% 99.7% December 2013 YTD 95.4% 99.7% % change Dec12 YTD to Dec13 YTD 12.5% 4.7%
Percentage of category 2 cases treated within recommended time
Mar '13 YTD - Dec '13 YTD Mar '12 YTD - Dec '12 YTD 79.2% Baseline (2010) 100% 95% 90% 85% 80% 75% 70% NPA Dec 2013 Target NPA Dec 2012 Target
Under The National Health Reform Agreement National Partnership Agreement (NPA) on Improving Public Hospital Services, reward funding is made available to WA under the National Elective Surgery Target (NEST) initiative. The December 2013 target for Category 2 cases treated within the clinically recommended time is 88%. The target was achieved for the 2013 calendar year, where 89.4% of cases were treated within the clinically recommended time. This represents a 9.0% increase in cases treated within the clinically recommended time compared to the 2012 calendar year. For the same period, the proportion of Category 2 cases treated within the clinically recommended time at metropolitan hospitals increased by 9.8% and at country hospitals increased by 6.2%. Figures include all public hospital elective surgery wait lists and the public patient wait lists at Joondalup and Peel Health Campuses.
March YTD
June YTD
September YTD
December YTD
Area Metropolitan Country WA State March 2012 YTD 77.5% 87.7% 79.3% June 2012 YTD 78.7% 90.0% 80.6% September 2012 YTD 78.8% 92.4% 81.1% December 2012 YTD 79.7% 93.8% 82.0% March 2013 YTD 82.9% 99.4% 85.3% June 2013 YTD 85.1% 99.5% 87.2% September 2013 YTD 86.3% 99.6% 88.3% December 2013 YTD 87.5% 99.6% 89.4% % change Dec12 YTD to Dec13 YTD 9.8% 6.2% 9.0%
Percentage of category 3 cases treated within recommended time
Under The National Health Reform Agreement National Partnership Agreement (NPA) on Improving Public Health Service, reward funding is made available to WA under the National Elective Surgery Target (NEST) initiative. The December 2013 target for Category 3 cases treated within the clinically recommended time is 98%. The target was not achieved for the 2013 calendar year, where 97.7% of cases were treated within the clinically recommended time. This represents a 1.3% increase in cases treated within the clinically recommended time compared to the 2012 calendar year. For the same period, the proportion of Category 3 cases treated within the clinically recommended time at metropolitan hospitals increased by 1.6% and at country hospitals increased by 0.6%. Figures include all public hospital elective surgery wait lists and the public patient wait lists at Joondalup and Peel Health Campuses.
100%
Mar '13 YTD - Dec '13 YTD Mar '12 YTD - Dec '12 YTD
97.2% Baseline (2010) NPA Dec 2012 and 2013 Target
98%
96%
94%
92%
90%
March YTD
June YTD
September YTD
December YTD
Area Metropolitan Country March 2012 YTD 96.6% 97.9% June 2012 YTD 96.4% 97.1% September 2012 YTD 96.2% 97.2% December 2012 YTD 96.0% 97.5% March 2013 YTD 96.9% 98.9% June 2013 YTD 96.9% 97.9% September 2013 YTD 97.1% 97.9% December 2013 YTD 97.5% 98.1% % change Dec12 YTD to Dec13 YTD 1.6% 0.6%
9.4 Average Overdue Wait Time (Days) for Category 1 Cases

Under The National Health Reform Agreement National Partnership Agreement (NPA) on Improving Public Hospital Services, reward funding is made available to WA under the National Elective Surgery Target (NEST) initiative. The target for average overdue wait time (days) for Category 1 cases that have waited beyond the clinically recommended time is 0. The target was not achieved as at 31 December 2013, where 12.90 days was the average overdue wait time for Category 1 cases. It was 0.79 days (or 6.5%) more than the average overdue wait time for Category 1 cases as at 31 December 2012. For the same period, the average overdue wait time for Category 1 cases at metropolitan public hospitals increased by 0.49 days (or 3.9%) and at country public hospitals decreased by 7.75 days (or 100.0%). Figures include all public hospital elective surgery wait lists and the public patient wait lists at Joondalup and Peel Health Campuses.
Figure 31: Average overdue wait time (days) for category 1 cases that have waited beyond the clinically recommended time (WA State)
31 Mar '13 - 31 Dec '13 31 Mar '12 - 31 Dec '12 NPA Dec 2012 and 2013 Target
Average overdue wait time (days) for category 1 cases
40.0
30.0
20.0
10.0
0.0
31 March
30 June
30 September
31 December
Table 31: Average overdue wait time (days) for Category 1 cases that have waited beyond the clinically recommended time*,4
Area Metropolitan Country 31 March 2012 23.09 20.50 30 June 2012 16.99 0.00 30 September 2012 18.09 7.33 31 December 2012 12.41 7.75 31 March 2013 17.00 1.00 30 June 2013 13.19 0.00 30 September 2013 5.38 0.00 31 December 2013 12.90 0.00 % change 31 Dec12 to 31 Dec13 3.9% -100.0%
WA State 22.86 16.99 17.86 12.11 16.45 13.19 5.38 12.90 6.5% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.

Under The National Health Reform Agreement National Partnership Agreement (NPA) on Improving Public Hospital Services, reward funding is made available to WA under the National Elective Surgery Target (NEST) initiative. The December 2013 target for average overdue wait time (days) for Category 2 cases that have waited beyond the clinically recommended time is 45. The target was not achieved as at 31 December 2013, where 55.03 days was the average overdue wait time for Category 2 cases. It was 0.82 days (or 1.5%) more than the average overdue wait time for Category 2 cases as at 31 December 2012. For the same period, the average overdue wait time for Category 2 cases at metropolitan public hospitals increased by 0.25 days (or 0.5%) and at country public hospitals decreased by 24.67 days (or 100.0%). Figures include all public hospital elective surgery wait lists and the public patient wait lists at Joondalup and Peel Health Campuses.
31 Mar '13 - 31 Dec '13 31 Mar '12 - 31 Dec '12 NPA Dec 2013 Target NPA Dec 2012 Target
100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0
31 March
30 June
30 September
31 December
Area Metropolitan Country WA State 31 March 2012 84.03 33.83 81.48 30 June 2012 90.41 26.95 89.46 30 September 2012 79.02 42.79 78.37 31 December 2012 54.78 24.67 54.21 31 March 2013 46.56 18.00 46.50 30 June 2013 43.37 0.00 43.37 30 September 2013 46.32 0.00 46.32 31 December 2013 55.03 0.00 55.03 % change 31 Dec12 to 31 Dec13 0.5% -100.0% 1.5%

Under The National Health Reform Agreement National Partnership Agreement (NPA) on Improving Public Hospital Sevices, reward funding is made available to WA under the National Elective Surgery Target (NEST) initiative. The December 2013 target for average overdue wait time (days) for Category 3 cases that have waited beyond the clinically recommended time is 44. The target was not achieved as at 31 December 2013, where 75.84 days was the average overdue wait time for Category 3 cases. It was 8.91 days (or 13.3%) more than the average overdue wait time for Category 3 cases as at 31 December 2012. For the same period, the average overdue wait time for Category 3 cases at metropolitan public hospitals increased by 35.81 days (or 55.5%) and at country public hospitals decreased by 21.47 days (or 29.7%). Figures include all public hospital elective surgery wait lists and the public patient wait lists at Joondalup and Peel Health Campuses.
31 Mar '13 - 31 Dec '13 31 Mar '12 - 31 Dec '12 NPA Dec 2013 Target NPA Dec 2012 Target
100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0
31 March
30 June
30 September
31 December
Area Metropolitan Country WA State 31 March 2012 80.41 66.06 78.68 30 June 2012 86.23 47.62 80.82 30 September 2012 80.47 62.86 77.51 31 December 2012 64.49 72.40 66.93 31 March 2013 64.25 64.09 64.22 30 June 2013 71.85 46.10 68.77 30 September 2013 68.37 24.80 58.29 31 December 2013 100.30 50.93 75.84 % change 31 Dec12 to 31 Dec13 55.5% -29.7% 13.3%
10. National Emergency Access Target

Did you know?
The National Emergency Access Target (NEAT) is a national four hour target where, by 2015, 90 per cent of all patients presenting to a public hospital ED will physically leave the ED for admission to hospital, be referred to another hospital for treatment or be discharged, within four hours. The aim of the target is to improve the patient experience and quality of care by reducing delays in the ED and streamlining processes for admission and discharge across the hospital. Service improvement activity that commenced under the Four Hour Rule Program will continue as part of ongoing emergency care reform and the NEAT, as will the public reporting of performance and safety and quality indicators. Staged implementation for NEAT is across all triage categories by calendar year commencing in 2012, as listed in the table below: State WA 1 Jan 2012 to 31 Dec 2012 (Period 1) 76.0% 1 Jan 2013 to 31 Dec 2013 (Period 2) 81.0% 1 Jan 2014 to 31 Dec 2014 (Period 3) 85.0% 1 Jan 2015 to 31 Dec 2015 (Period 4) 90.0%
What hospitals does it cover?

Tertiary:
Fremantle Hospital (FH), King Edward Memorial Hospital (KEMH), Royal Perth Hospital (RPH), Sir Charles Gairdner Hospital (SCGH) and Princess Margaret Hospital (PMH).
Metropolitan General:
Rockingham General Hospital (RGH), Armadale-Kelmscott Memorial Hospital (AKMH), Swan District Hospital (SDH), Peel Health Campus (PHC) and Joondalup Health Campus (JHC).
Rural:
Bunbury Regional Hospital (BRH), Kalgoorlie Hospital (KH), Albany Hospital (AH), Broome Hospital (BH), Geraldton Hospital (GH), Hedland Health Campus (HHC) and Nickol Bay Hospital (NBH).
How can I get more information?

Further information about National Emergency Access Target and the performance of individual hospitals is available at www.health.wa.gov.au/emergencyaccessreform/home/.
National Emergency Access Target 35
10.1 NEAT Total Emergency Department Attendances

In the December 2013 quarter, there was an increase of 2,658 (or 1.4%) in total emergency department attendances in National Emergency Access Target hospitals compared with the same quarter in the previous year.
Total NEAT ED Attendances
Figure 34: NEAT total emergency department attendances NEAT hospitals
For the same period, metropolitan National Emergency Access Target hospital emergency department attendances increased by 3,669 (or 2.5%). Country National Emergency Access Target hospital emergency department attendances decreased by 1,011 (or 2.2%). Tertiary hospital emergency department attendances increased by 1,707 (or 2.4%) and metropolitan general hospitals increased by 1,962 (or 2.6%).
220,000
200,000
180,000
160,000
140,000
120,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 34 NEAT total emergency department attendances*

Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General 71,253 74,018 72,598 73,931 73,277 75,777 72,592 75,520 72,143 74,533 71,987 73,787 72,691 74,041 74,299 77,482 2.4% 2.6% March 2012 Quarter 145,271 44,246 189,517 June 2012 Quarter 146,529 45,836 192,365 September 2012 Quarter 149,054 48,329 197,383 December 2012 Quarter 148,112 46,137 194,249 March 2013 Quarter 146,676 46,231 192,907 June 2013 Quarter 145,774 45,795 191,569 September 2013 Quarter 146,732 46,582 193,314 December 2013 Quarter 151,781 45,126 196,907 % change Dec12 to Dec13 Quarters 2.5% -2.2% 1.4%
Rural 44,246 45,836 48,329 46,137 46,231 45,795 46,582 45,126 -2.2% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
10.2 NEAT Total Admissions from Emergency Departments

In the December 2013 quarter, there was an increase of 1,792 (or 3.6%) in admissions from emergency departments in National Emergency Access Target hospitals compared with the same quarter in the previous year. For the same period, admissions from metropolitan National Emergency Access Target hospital emergency departments increased by 1,721 (or 4.1%). Admissions from country National Emergency Access Target hospital emergency departments increased by 71 (or 0.9%). Admissions from tertiary hospital emergency departments increased by 444 (or 1.7%) and metropolitan general hospitals increased by 1,277 (or 8.6%).
Figure 35: NEAT total admissions from emergency department NEAT hospitals
Previous (Mar '12 Qtr - Dec '12 Qtr) 60,000 Total NEATAdmissions from ED Current (Mar '13 Qtr - Dec '13 Qtr)
40,000
20,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 35 NEAT total admissions from emergency departments*

Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General Rural 27,096 13,691 7,328 26,606 14,238 7,588 26,399 14,582 7,836 26,655 14,865 7,815 26,909 14,649 7,476 26,972 15,398 7,719 26,689 15,976 8,090 27,099 16,142 7,886 1.7% 8.6% 0.9% March 2012 Quarter 40,787 7,328 48,115 June 2012 Quarter 40,844 7,588 48,432 September 2012 Quarter 40,981 7,836 48,817 December 2012 Quarter 41,520 7,815 49,335 March 2013 Quarter 41,558 7,476 49,034 June 2013 Quarter 42,370 7,719 50,089 September 2013 Quarter 42,665 8,090 50,755 December 2013 Quarter 43,241 7,886 51,127 % change Dec12 to Dec13 Quarters 4.1% 0.9% 3.6%
10.3 NEAT Percentage of Emergency Department Attendances Admitted

For the December 2013 quarter, the percentage of total emergency department attendances admitted in National Emergency Access Target hospitals was 2.2% higher than the same quarter in the previous year. For the same period, the percentage of total emergency department attendances admitted in metropolitan National Emergency Access Target hospitals increased by 1.6% and in country National Emergency Access Target hospitals increased by 3.2%. The percentage of total emergency department attendances admitted at tertiary hospitals decreased by 0.7% and metropolitan general hospitals increased by 5.8%. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 36: NEAT percentage of total emergency department attendances admitted NEAT hospitals
40.0%
Percentage
30.0%
20.0%
10.0%
March Qtr
June Qtr
September Qtr
December Qtr
Table 36 NEAT percentage of total emergency department attendances admitted*

Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General 38.0% 18.5% 36.6% 19.3% 36.0% 19.2% 36.7% 19.7% 37.3% 19.7% 37.5% 20.9% 36.7% 21.6% 36.5% 20.8% -0.7% 5.8% March 2012 Quarter 28.1% 16.6% 25.4% June 2012 Quarter 27.9% 16.6% 25.2% September 2012 Quarter 27.5% 16.2% 24.7% December 2012 Quarter 28.0% 16.9% 25.4% March 2013 Quarter 28.3% 16.2% 25.4% June 2013 Quarter 29.1% 16.9% 26.1% September 2013 Quarter 29.1% 17.4% 26.3% December 2013 Quarter 28.5% 17.5% 26.0% % change Dec12 to Dec13 Quarters 1.6% 3.2% 2.2%
Rural 16.6% 16.6% 16.2% 16.9% 16.2% 16.9% 17.4% 17.5% 3.2% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
10.4 NEAT Total Mental Health Admissions from Emergency Department

In the December 2013 quarter, there was a decrease of 202 (or 7.0%) in mental health admissions from emergency departments in metropolitan National Emergency Access Target hospitals.
Total NEAT Mental Health ED Admissions
Figure 37: NEAT Total Mental health emergency department admissions NEAT hospitals
For the same period, mental health emergency department admissions from tertiary hospitals decreased by 279 (or 13.7%) and metropolitan general hospitals increased by 77 (or 9.0%). Country and rural National Emergency Access Target hospital ED mental health admissions data is not complete for the December 2013 quarter; therefore a comparison can not be made for the December 2012 and December 2013 quarters.
6,000
4,000
2,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 37 NEAT total mental health emergency department admissions*

Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General Rural 2,336 1,002 609 1,986 855 588 1,845 828 661 2,032 856 657^ 1,932 857 626^ 1,850 895 538^ 1,770 890 487^ 1,753 933 509^ -13.7% 9.0% N/A+ March 2012 Quarter 3,338 609 3,947 June 2012 Quarter 2,841 588 3,429 September 2012 Quarter 2,673 661 3,334 December 2012 Quarter 2,888 657^ 3,545^ March 2013 Quarter 2,789 626^ 3,415^ June 2013 Quarter 2,745 538^ 3,283^ September 2013 Quarter 2,660 487^ 3,147^ December 2013 Quarter 2,686 509^ 3,195^ % change Dec12 to Dec13 Quarters -7.0% N/A+ N/A+
10.5 NEAT Percentage of Total Emergency Department Attendances Transferred to another Hospital
For the December 2013 quarter, the percentage of total emergency department attendances transferred from National Emergency Access Target hospitals was 6.9% lower than the same quarter in the previous year. For the same period, the percentage of total emergency department attendances at metropolitan National Emergency Access Target hospitals transferred to another hospital decreased by 9.9% and at country National Emergency Access Target hospitals increased by 29.7%. The percentage of total emergency department attendances at tertiary hospitals transferred to another hospital decreased by 5.0% and metropolitan general hospitals decreased by 11.6%. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 38: NEAT percentage of total emergency department attendances transferred to another hospital NEAT hospitals
3.0% 2.5%
Percentage
2.0% 1.5% 1.0% 0.5% 0.0%
March Qtr
June Qtr
September Qtr
December Qtr
Table 38 NEAT percentage of total emergency department attendances transferred to another hospital*
Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General Rural 1.0% 3.8% 0.5% 1.3% 3.7% 0.4% 1.5% 4.2% 0.5% 1.5% 4.3% 0.6% 1.4% 4.3% 0.5% 1.6% 4.0% 0.5% 1.4% 3.8% 0.6% 1.4% 3.8% 0.8% -5.0% -11.6% 29.7% March 2012 Quarter 2.4% 0.5% 2.0% June 2012 Quarter 2.5% 0.4% 2.0% September 2012 Quarter 2.9% 0.5% 2.3% December 2012 Quarter 2.9% 0.6% 2.4% March 2013 Quarter 2.9% 0.5% 2.3% June 2013 Quarter 2.8% 0.5% 2.3% September 2013 Quarter 2.6% 0.6% 2.1% December 2013 Quarter 2.6% 0.8% 2.2% % change Dec12 to Dec13 Quarters -9.9% 29.7% -6.9%
10.6 NEAT Percentage of Emergency Department Attendances with Length of Episode (LOE) of Four Hours or Less
Under the National Health Reform Agreement - National Partnership Agreement (NPA) on improving Public Hospital Services, reward funding is made available to WA under the National Emergency Access Target (NEAT). The 2013 target for the ED attendances with LOE of four hours or less is 81%. The target was not achieved in the December 2013 quarter, when 79.3% of ED attendances had a LOE of four hours or less. Compared to the same quarter in the previous year, the percentage of ED attendances with LOE of four hours or less in National Emergency Access Target hospitals was 1.6% higher. For the same period, the percentage of emergency department attendances with LOE of four hours or less at metropolitan National Emergency Access Target hospitals increased by 2.7% and at country National Emergency Access Target hospitals decreased by 1.2%. The percentage of emergency department attendances with LOE of four hours or less at tertiary hospitals increased by 6.4% and metropolitan general hospitals decreased by 0.8%. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 39: NEAT percentage of emergency department attendances with LOE of four hours or less NEAT hospitals
Previous (Mar '12 Qtr - Dec '12 Qtr) Current (Mar '13 Qtr - Dec '13 Qtr) 2013 Target 81% 2012 Target 76%
100.0%
90.0% Percentage
80.0%
70.0%
60.0%
March Qtr
June Qtr
September Qtr
December Qtr
Table 39 NEAT percentage of emergency department attendances with LOE of four hours or less*
Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General Rural 79.2% 77.1% 88.0% 77.4% 76.9% 87.5% 71.2% 72.4% 86.2% 75.6% 75.7% 85.7% 74.6% 73.9% 86.9% 74.4% 74.2% 86.2% 75.5% 72.8% 84.2% 80.5% 75.1% 84.7% 6.4% -0.8% -1.2% March 2012 Quarter 78.1% 88.0% 80.4% June 2012 Quarter 77.2% 87.5% 79.6% September 2012 Quarter 71.8% 86.2% 75.3% December 2012 Quarter 75.7% 85.7% 78.1% March 2013 Quarter 74.3% 86.9% 77.3% June 2013 Quarter 74.3% 86.2% 77.2% September 2013 Quarter 74.2% 84.2% 76.6% December 2013 Quarter 77.7% 84.7% 79.3% % change Dec12 to Dec13 Quarters 2.7% -1.2% 1.6%
10.7 NEAT Percentage of Emergency Department Attendances with LOE greater than Twelve Hours
For the December 2013 quarter, the percentage of emergency department attendances with LOE greater than twelve hours in National Emergency Access Target hospitals was 19.8% higher than the same quarter in the previous year. For the same period, the percentage of emergency department attendances with LOE greater than twelve hours at metropolitan National Emergency Access Target hospitals increased by 17.8% and at country National Emergency Access Target hospitals increased by 34.2%. The percentage of emergency department attendances with LOE greater than twelve hours at tertiary hospitals decreased by 1.8%, metropolitan general hospitals increased by 44.7% and rural hospitals increased by 34.2%. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 40: NEAT percentage of emergency department attendances with LOE greater than twelve hours NEAT hospitals
6.0% 5.0%
Percentage
4.0% 3.0% 2.0% 1.0% 0.0%
March Qtr
June Qtr
September Qtr
December Qtr
Table 40 NEAT percentage of emergency department attendances with LOE greater than twelve hours*
Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General Rural 2.2% 1.6% 0.5% 2.7% 1.8% 0.5% 4.6% 2.6% 0.6% 2.6% 1.8% 0.5% 3.1% 2.2% 0.7% 4.1% 2.1% 0.7% 3.8% 2.5% 0.8% 2.5% 2.6% 0.7% -1.8% 44.7% 34.2% March 2012 Quarter 1.9% 0.5% 1.6% June 2012 Quarter 2.3% 0.5% 1.8% September 2012 Quarter 3.6% 0.6% 2.9% December 2012 Quarter 2.2% 0.5% 1.8% March 2013 Quarter 2.7% 0.7% 2.2% June 2013 Quarter 3.1% 0.7% 2.5% September 2013 Quarter 3.1% 0.8% 2.6% December 2013 Quarter 2.6% 0.7% 2.1% % change Dec12 to Dec13 Quarters 17.8% 34.2% 19.8%
10.8 NEAT Percentage of Emergency Department Admissions with LOE of Four Hours or Less
For the December 2013 quarter, the percentage of emergency department admissions with LOE of four hours or less in National Emergency Access Target hospitals was 8.4% higher than the same quarter in the previous year. For the same period, the percentage of emergency department admissions with LOE of four hours or less at metropolitan National Emergency Access Target hospitals increased by 10.8% and at country National Emergency Access Target hospitals decreased by 2.9%. The percentage of emergency department admissions with LOE of four hours or less at tertiary hospitals increased by 18.0% and metropolitan general hospitals decreased by 2.5%. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 41: NEAT percentage of emergency department admissions with LOE of four hours or less NEAT hospitals
Previous (Mar '12 Qtr - Dec '12 Qtr) 60.0% Current (Mar '13 Qtr - Dec '13 Qtr)
50.0% Percentage
40.0%
30.0%
20.0%
10.0%
March Qtr
June Qtr
September Qtr
December Qtr
Table 41 NEAT percentage of emergency department admissions with LOE of four hours or less*
Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General Rural 57.9% 45.1% 60.2% 53.2% 45.2% 57.2% 44.0% 36.5% 54.1% 52.4% 44.4% 55.4% 50.7% 42.8% 55.9% 49.4% 41.6% 56.4% 52.6% 40.1% 51.6% 61.8% 43.3% 53.8% 18.0% -2.5% -2.9% March 2012 Quarter 53.6% 60.2% 54.6% June 2012 Quarter 50.4% 57.2% 51.5% September 2012 Quarter 41.3% 54.1% 43.4% December 2012 Quarter 49.5% 55.4% 50.4% March 2013 Quarter 47.9% 55.9% 49.1% June 2013 Quarter 46.5% 56.4% 48.1% September 2013 Quarter 47.9% 51.6% 48.5% December 2013 Quarter 54.9% 53.8% 54.7% % change Dec12 to Dec13 Quarters 10.8% -2.9% 8.4%
10.9 NEAT Percentage of Emergency Department Transfers with LOE of Four Hours or Less
For the December 2013 quarter, the percentage of emergency department transfers with LOE of four hours or less in National Emergency Access Target hospitals was 0.2% lower than the same quarter in the previous year. For the same period, the percentage of emergency department transfers with LOE of four hours or less at metropolitan National Emergency Access Target hospitals remained the same and at country National Emergency Access Target hospitals increased by 2.4%. The percentage of emergency department transfers with LOE of four hours or less at tertiary hospitals increased by 5.6% and metropolitan general hospitals decreased by 1.5%. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 42: NEAT percentage of emergency department transfers with LOE of four hours or less NEAT hospitals
60.0% Percentage
50.0%
40.0%
30.0%
20.0%
March Qtr
June Qtr
September Qtr
December Qtr
Table 42 NEAT percentage of emergency department transfers with LOE of four hours or less*
Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General 59.8% 56.8% 54.5% 58.3% 46.1% 57.6% 50.7% 59.4% 52.7% 58.8% 52.3% 59.0% 50.4% 55.7% 53.6% 58.5% 5.6% -1.5% March 2012 Quarter 57.4% 54.5% 57.3% June 2012 Quarter 57.4% 50.5% 57.0% September 2012 Quarter 54.7% 48.9% 54.4% December 2012 Quarter 57.2% 47.4% 56.7% March 2013 Quarter 57.3% 51.1% 57.0% June 2013 Quarter 57.1% 44.6% 56.4% September 2013 Quarter 54.3% 37.1% 53.2% December 2013 Quarter 57.2% 48.5% 56.5% % change Dec12 to Dec13 Quarters 0.0% 2.4% -0.2%
Rural 54.5% 50.5% 48.9% 47.4% 51.1% 44.6% 37.1% 48.5% 2.4% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
10.10 NEAT Percentage of Emergency Department Departures with LOE of Four Hours or Less
For the December 2013 quarter, the percentage of emergency department departures with LOE of four hours or less in National Emergency Access Target hospitals was 0.5% higher than the same quarter in the previous year. For the same period, the percentage of emergency department departures with LOE of four hours or less at metropolitan National Emergency Access Target hospitals increased by 1.0% and at country National Emergency Access Target hospitals decreased by 0.6%. The percentage of emergency department departures with LOE of four hours or less at tertiary hospitals increased by 2.3% and metropolitan general hospitals remained the same. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Figure 43: NEAT percentage of emergency department departures with LOE of four hours or less NEAT hospitals
90.0% Percentage
80.0%
70.0%
60.0%
March Qtr
June Qtr
September Qtr
December Qtr
Table 43 NEAT percentage of emergency department departures with LOE of four hours or less*
Area Metropolitan Country WA State Hospital Grouping Tertiary Metropolitan General 92.9% 85.6% 92.1% 85.8% 87.5% 82.2% 90.1% 84.7% 89.7% 82.8% 90.5% 84.1% 89.7% 83.2% 92.1% 84.7% 2.3% 0.0% March 2012 Quarter 88.8% 93.8% 90.1% June 2012 Quarter 88.6% 93.8% 90.0% September 2012 Quarter 84.6% 92.6% 86.8% December 2012 Quarter 87.1% 92.2% 88.5% March 2013 Quarter 85.9% 93.1% 87.9% June 2013 Quarter 86.9% 92.6% 88.5% September 2013 Quarter 86.1% 91.5% 87.6% December 2013 Quarter 88.0% 91.7% 89.0% % change Dec12 to Dec13 Quarters 1.0% -0.6% 0.5%
Rural 93.8% 93.8% 92.6% 92.2% 93.1% 92.6% 91.5% 91.7% -0.6% * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report.
10.11 Ambulance Ramping

In the December 2013 quarter, there was an increase of 278.5 hours (or 9.7%) in ambulance ramping at metropolitan hospitals in comparison with the same quarter in the previous year. For the same period, tertiary hospital ambulance ramping decreased by 118.4 hours (or 6.7%). Metropolitan general hospital ambulance ramping increased by 396.8 hours (or 35.3%). Tertiary hospitals include Princess Margaret, Royal Perth, Sir Charles Gairdner, King Edward Memorial and Fremantle. Metropolitan general hospitals include Armadale-Kelmscott, Rockingham General, Swan District, Joondalup Health Campus and Peel Health Campus. Note: Figures shown in the table are rounded to one decimal place. The actual and % changes in gures between the December 2012 and December 2013 quarters are calculated using actual numbers that contain more than one decimal place, and therefore the change gures presented above may be slightly different to those calculated using the rounded gures in the table.
Total Hours
Figure 44: Ambulance Ramping (hours) (Metropolitan)
4,000
3,000
2,000
1,000
March Qtr
June Qtr
September Qtr
December Qtr
Table 44 Ambulance Ramping (hours)*

Area Metropolitan Hospital Grouping Tertiary 798.9 1,370.2 3,102.1 1,756.0 2,215.7 2,656.3 2,118.3 1,637.6 -6.7% Metropolitan 484.9 694.0 1,479.7 1,125.0 1,196.8 1,485.8 1,710.7 1,521.8 35.3% General * Refer to the Notes section (pages v to vi) and the Data Denitions and Business Rules (pages 47 to 69) for information on how to interpret the gures including symbols in this report. March 2012 Quarter 1,283.8 June 2012 Quarter 2,064.2 September 2012 Quarter 4,581.7 December 2012 Quarter 2,880.9 March 2013 Quarter 3,412.5 June 2013 Quarter 4,142.1 September 2013 Quarter 3,829.0 December 2013 Quarter 3,159.4 % change Dec12 to Dec13 Quarters 9.7%
Data Denitions and Business Rules

Table 1: Number of public hospital separations Denition: Guide for use: Counts of separations at WA public hospitals. Separations, which are sometimes referred to as discharges, include statistical and formal separations. Organ procurement cases, hospital boarders, Aged Care Residents, Flexible Care and Ambulatory Surgery Initiative patients are excluded from the count as they are not admitted patients. Separations provided in this report are preliminary. Final count of separations is available through the Hospital Morbidity Data Collection (HMDC). Coding and edit requirements mean the HMDC data usually has a substantial delay. Includes: All (public and non-public) separations at WA public hospitals (metropolitan and rural). Public patient separations at Joondalup Health Campus (JHC). Public patient separations at Peel Health Campus (PHC). Excludes: Data source: Data extraction: Report prepared by: Private hospitals, including private activity at Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Health Services, Joondalup and Peel Health Campuses. TOPAS (07/01/2014), webPAS (07/01/2014), HCARe (07/01/2014), JHC (07/01/2014) and PHC (07/01/2014) discharge extracts. Performance Activity and Quality Division, Department of Health, WA.
Data Denitions and Business Rules 47

Table 2: Public hospital acute separations Denition: Guide for use: Counts of acute separations at WA public hospitals. Total acute separations include medical, surgical, obstetric, dialysis, mental health and qualied newborn separations, excluding boarders, organ procurement cases, psychogeriatric patients and unqualied newborns. Separations, which are sometimes referred to as discharges, include statistical and formal separations. Organ procurement cases, hospital boarders, Aged Care Residents, Flexible Care and Ambulatory Surgery Initiative patients are excluded from the count as they are not admitted patients. Separations provided in this report are preliminary. Final count of separations is available through the Hospital Morbidity Data Collection (HMDC). Coding and edit requirements mean the HMDC data usually has a substantial delay. Includes: All (public and non-public) separations at WA public hospitals (metropolitan and rural). Public patient separations at Joondalup Health Campus. Public patient separations at Peel Health Campus. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, including private activity at Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Health Services, Joondalup and Peel Health Campuses. TOPAS (07/01/2014), webPAS (07/01/2014), HCARe (07/01/2014), JHC (07/01/2014) and PHC (07/01/2014) discharge extracts. Performance Activity and Quality Division, Department of Health, WA.

Table 3: Public hospital elective acute separations Denition: Guide for use: Counts of elective acute separations at WA public hospitals. Total elective acute separations are counts of acute separations from elective wait list and elective non-wait list admissions. Separations, which are sometimes referred to as discharges, include statistical and formal separations. Organ procurement cases, hospital boarders, Aged Care Residents, Flexible Care and Ambulatory Surgery Initiative patients are excluded from the count as they are not admitted patients. Separations provided in this report are preliminary. Final count of separations is available through the Hospital Morbidity Data Collection (HMDC). Coding and edit requirements mean the HMDC data usually has a substantial delay. Includes: All (public and non-public) separations at WA public hospitals (metropolitan and rural). Public patient separations at Joondalup Health Campus. Public patient separations at Peel Health Campus. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, including private activity at Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Health Services, Joondalup and Peel Health Campuses. TOPAS (07/01/2014), webPAS (07/01/2014), HCARe (07/01/2014), JHC (07/01/2014) and PHC (07/01/2014) discharge extracts. Performance Activity and Quality Division, Department of Health, WA.

Table 4: Public hospital acute medical separations Denition: Guide for use: Counts of acute medical separations at WA public hospitals. Total acute medical separations are counts of emergency and elective separations from medical specialty on discharge, excluding boarders, organ procurement cases, psychogeriatric patients and unqualied newborns. Separations, which are sometimes referred to as discharges, include statistical and formal separations. Organ procurement cases, hospital boarders, Aged Care Residents, Flexible Care and Ambulatory Surgery Initiative patients are excluded from the count as they are not admitted patients. Separations provided in this report are preliminary. Final count of separations is available through the Hospital Morbidity Data Collection (HMDC). Coding and edit requirements mean the HMDC data usually has a substantial delay. Includes: All (public and non-public) separations at WA public hospitals (metropolitan and rural). Public patient separations at Joondalup Health Campus. Public patient separations at Peel Health Campus. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, including private activity at Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Health Services, Joondalup and Peel Health Campuses. TOPAS (07/01/2014), webPAS (07/01/2014), HCARe (07/01/2014), JHC (07/01/2014) and PHC (07/01/2014) discharge extracts. Performance Activity and Quality Division, Department of Health, WA.

Table 5: Public hospital acute surgical separations Denition: Guide for use: Counts of acute surgical separations at WA public hospitals. Total acute surgical separations are counts of emergency and elective separations from surgical specialty on discharge, excluding boarders, organ procurement cases, psychogeriatric patients and unqualied newborns. Separations, which are sometimes referred to as discharges, include statistical and formal separations. Organ procurement cases, hospital boarders, Aged Care Residents, Flexible Care and Ambulatory Surgery Initiative patients are excluded from the count as they are not admitted patients. Separations provided in this report are preliminary. Final count of separations is available through the Hospital Morbidity Data Collection (HMDC). Coding and edit requirements mean the HMDC data usually has a substantial delay. Includes: All (public and non-public) separations at WA public hospitals (metropolitan and rural). Public patient separations at Joondalup Health Campus. Public patient separations at Peel Health Campus. Excludes: Data source: Data extraction: Private hospitals, including private activity at Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Health Services, Joondalup and Peel Health Campuses. TOPAS (07/01/2014), webPAS (07/01/2014), HCARe (07/01/2014), JHC (07/01/2014) and PHC (07/01/2014) discharge extracts.
Report prepared by: Performance Activity and Quality Division, Department of Health, WA.

Table 6: Number of renal dialysis separations Denition: Guide for use: Counts of admitted renal dialysis patient separations. Total renal dialysis separations are counts of either statistical and formal separations of all cases (elective and emergency) from Renal Dialysis specialty. Excludes boarders, organ procurement cases and newborns. Separations provided in this report are preliminary. A nal count of separations is available through the HMDC. Coding and edit requirements mean the HMDC data usually has a delay. Includes: Excludes: Data source: Data extraction: Report prepared by: All renal dialysis separations at WA public Hospitals (metropolitan and rural). Public patient separations at Joondalup and Peel Health Campuses and non-government organisations. Data excludes private hospitals not contracted for public renal dialysis separations. Health Services, Joondalup and Peel Health Campuses and contracted non-government organisations. TOPAS (07/01/2014), webPAS (07/01/2014), HCARe (07/01/2014), JHC (07/01/2014) and PHC (07/01/2014) discharge extracts. HMDS (08/01/2014), Country NGOs data received on 08/01/2014. Performance Activity and Quality Division, Department of Health, WA.
Table 7: Public hospital overall acute (sameday and overnight) average length of stay (in days) Denition: Guide for use: Average length of stay, in days, of acute (sameday and overnight) separations from WA Public Hospitals. The length of stay for an overnight patient is calculated by subtracting admission date from separation date and deducting any days a patient is on leave (if any) during the episode of care. A sameday patient has a length of stay of 1 day. For a particular month the calculation is the number of days of hospital stay (regardless of whether all beddays fall within the month) for all acute separations during the quarter divided by the number of acute separations during the quarter. Includes: All (public and non-public) separations at WA public hospitals (metropolitan and rural). Public patient separations at Joondalup Health Campus. Public patient separations at Peel Health Campus. Excludes: Data source: Data extraction: Private hospitals, including private activity at Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Health Services, Joondalup & Peel Health Campuses. TOPAS (07/01/2014), webPAS (07/01/2014), HCARe (07/01/2014), JHC (07/01/2014) and PHC (07/01/2014) discharge extracts.

Table 8: Number of public hospital newborns Denition: Guide for use: Includes: Counts of newborn separations at WA public hospitals. Separations provided in this report are preliminary. Final count of separations is available through the Hospital Morbidity Data Collection (HMDC). Coding and edit requirements mean the HMDC data usually has a substantial delay. All newborn separations at WA public hospitals (metropolitan and rural). Newborn public patient separations at Joondalup Health Campus. Newborn public patient separations at Peel Health Campus. Total newborns are counts of either statistical or formal separations of all newborn care cases (qualied and unqualied). Qualied newborns are those who turn 10 days of age or require clinical care until discharged. Unqualied newborns are those who turn 10 days of age, do not require clinical care and are statistically discharged before being statistically readmitted as boarders. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, including private activity at Joondalup Health Campus and Peel Health Campus. Health Services, Joondalup and Peel Health Campuses. TOPAS (07/01/2014), webPAS (07/01/2014), HCARe (07/01/2014), JHC (07/01/2014) and PHC (07/01/2014) discharge extracts. Performance Activity and Quality Division, Department of Health, WA.
Table 9: Average number of available active sameday beds/chairs Denition: Guide for use: Average number of available active sameday beds/chairs for a weekday (Monday-Friday) for the last month of the quarter. Average number of available active sameday beds/chairs is the sum of available active sameday beds/chairs on each weekday of the last month of the quarter divided by the total number of weekdays during the month. Available active sameday beds/chairs are counts of dedicated beds/chairs into which patients are or can be admitted for day procedures. Such beds/chairs are fully equipped and able to be staffed within the funds available to the Health Service for the nancial year. Includes renal dialysis beds/chairs. Available active includes all sameday beds/chairs that are immediately available for use. All metropolitan public hospitals. Private hospitals, including Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Data source: Data extraction: BedState Reporting System, Performance Activity & Quality Division. Metro: BedState (03/02/2014).
Includes: Excludes:

Table 10: Average number of available active overnight beds Denition: Guide for use: Average number of available active overnight beds for the last month of the quarter. Average number of available active overnight beds is the sum of available active overnight beds on each day of the last month of the quarter divided by the total number of days during the month. Available active overnight beds are counts of overnight type beds into which patients are or can be admitted. Such beds are fully equipped and able to be staffed within the funds available to the Health Service for the nancial year. Overnight beds is an average bed count for the last month of the quarter. Available active includes all overnight beds that are immediately available for use. All metropolitan public hospitals. Private hospitals, including Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Data source: Data extraction: Report prepared by: BedState Reporting System, Performance Activity & Quality Division. Metro: BedState (03/02/2014). Performance Activity and Quality Division, Department of Health, WA.
Includes: Excludes:
Table 11: Average occupancy of overnight beds Denition: Guide for use: Percentage of occupied overnight beds to total available active overnight beds for the last month of the quarter. Average number of beds occupied by overnight patients at 12 midnight each day over the reporting of the last month of the quarter divided by number of average available active (occupied and unoccupied) overnight beds for the month, expressed as a percentage. Available active includes all overnight beds that are immediately available for use. All (public and non-public) separations at metropolitan public hospitals. Private hospitals, including public and private activity at Joondalup Health Campus and Peel Health Campus. Next Step Drug and Alcohol Services, East Perth is excluded. Data source: Data extraction: BedState Reporting System, Performance Activity & Quality Division. Metro: BedState (03/02/2014).
Includes: Excludes:

Table 12: Number of patients on elective surgery wait list Denition: Guide for use: Includes: Counts of people from public and privately managed hospitals on the elective surgical wait list. Total patients on elective surgery wait lists are counted from extracted records on the last day of the quarter. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. All patients on elective surgical wait lists at WA Public Hospitals (metropolitan and rural). Public patients on elective surgical wait lists at Joondalup Health Campus. Public patients on elective surgical wait lists at Peel Health Campus. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. Wait List Data Collection (WLDC) (17/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 13: Number of admissions from the elective surgery wait list Denition: Guide for use: Includes: Counts of admissions from public and privately managed hospitals from the elective surgical wait list. Includes all admissions from the elective surgery wait list during each quarter. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. All admissions from the elective surgical wait lists at WA Public Hospitals (metropolitan and rural). Public patients on elective surgical wait lists at Joondalup Health Campus. Public patients on elective surgical wait lists at Peel Health Campus. Excludes: Data source: Data extraction: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. WLDC (17/01/2014).

Table 14: Total median waiting time (in months) for patients on the elective surgery wait list Denition: Guide for use: The median value of waiting times of all patients on the elective surgery wait list. Total patients on elective surgery waitlists are counted from extracted records on the last day of the quarter (census date). Waiting time (at census date) is the time elapsed (in months) for a patient on the elective surgery wait list from the date that patient was added to the waiting list to a designated census date. If a patient was assigned with more than 1 clinical urgency category while waiting on a list, the waiting time is calculated for the assigned clinical urgency category at a designated census date. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. Includes: Public Hospitals (metropolitan and rural). Joondalup Health Campus, public patients. Peel Health Campus, public patients. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. WLDC (17/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 15: Total emergency department attendances Denition: Guide for use: Includes: Excludes: Data source: Data extraction: The total number of all public emergency department attendances. Includes all episodes where a patient presented at the emergency department and was registered in any manner in one of the electronic data collection systems. All eligible (by denition) attendances. Hospitals include Armadale-Kelmscott, Fremantle, Rockingham General, Swan District, Sir Charles Gairdner, Royal Perth, King Edward Memorial, Princess Margaret and country hospitals. Publicly funded activity at Joondalup and Peel Health Campuses is included. Nursing posts and other non-hospital establishments and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (04/01/2014).

Table 16: Percentage of ED Triage 1 patients seen within recommended time Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: Number of ED Triage 1 patients seen immediately divided by total number of Triage 1 patients. Immediately is dened as waiting up to 2 minutes. This includes people who did not wait for treatment or were referred elsewhere. Data is expressed as a percentage. All WA public hospitals (that provide emergency department services) and publicly funded activity at Joondalup Health Campus and Peel Health Campus. Nursing posts and other non-hospital establishments and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (04/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 17: Percentage of ED Triage 2 patients seen within recommended time Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: Number of ED Triage 2 patients seen within 10 minutes divided by total number of Triage 2 patients. This includes people who did not wait for treatment or were referred elsewhere. Data is expressed as a percentage. All WA public hospitals (that provide emergency department services) and publicly funded activity at Joondalup Health Campus and Peel Health Campus. Nursing posts and other non-hospital establishments and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (04/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 18: Percentage of ED Triage 3 patients seen within recommended time Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Number of ED Triage 3 patients seen within 30 minutes divided by total number of Triage 3 patients. This includes people who did not wait for treatment or were referred elsewhere. Data is expressed as a percentage. All WA public hospitals (that provide emergency department services) and publicly funded activity at Joondalup Health Campus and Peel Health Campus. Nursing posts and other non-hospital establishments and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (04/01/2014).

Table 19: Percentage of ED Triage 4 patients seen within recommended time Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: Number of ED Triage 4 patients seen within 1 hour divided by total number of Triage 4 patients. This includes people who did not wait for treatment or were referred elsewhere. Data is expressed as a percentage. All WA public hospitals (that provide emergency department services) and publicly funded activity at Joondalup Health Campus and Peel Health Campus. Nursing posts and other non-hospital establishments and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (04/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 20: Percentage of ED Triage 5 patients seen within recommended time Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: Number of ED Triage 5 patients seen within 2 hours divided by total number of Triage 5 patients. This includes people who did not wait for treatment or were referred elsewhere. Data is expressed as a percentage. All WA public hospitals (that provide emergency department services) and publicly funded activity at Joondalup Health Campus and Peel Health Campus. Nursing posts and other non-hospital establishments and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (04/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 21: Total number of emergency department admissions Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Counts of ED attendances where patients were admitted to hospital inpatient wards. An admission process is the process whereby the hospital accepts responsibility for the patients care and/or treatment. All WA public hospitals (that provide emergency department services) and publicly funded activity at Joondalup Health Campus and Peel Health Campus. Nursing posts and other non-hospital establishments and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (04/01/2014).

Table 22: Number of mental health separations Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: Counts of mental health patient separations from WA public hospitals mental health designated units. Due to the timely requirements of the data, data is sourced from the Inpatient Discharge Extract which do not undergo data quality assurance process. Therefore, data is preliminary and should be interpreted with caution. Public Hospitals (metropolitan and rural). Joondalup Health Campus and Mercy Hospital, publicly funded activity only. Private hospitals, including private activity at Joondalup Health Campus and Mercy Hospital. Peel Health Campus is not a designated mental health unit and is excluded from the gures. Next Step Drug and Alcohol Services, East Perth is excluded. TOPAS, HCARe, and Joondalup discharge extracts. Mental Health Data Collection (02/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 23: Number of attendances for mental health services at outpatient clinics Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Counts of occasions of service provided by community mental health clinics that deliver mental health care or treatment. Occasions of service provided in this report are preliminary. Includes all mental health outpatient occasions of service (single and group therapy consultations). WA public community mental health service sites (rural and metropolitan). Private hospitals, including private activity at Joondalup Health Campus. Peel and Joondalup Health Campuses do not undertake mental health outpatient services for public patients. Next Step Drug and Alcohol Services, East Perth is excluded. Mental Health Information System (MHIS), Department of Health, WA. Mental Health Data Collection (02/01/2014).

Table 24: Number of Ambulatory Surgery Initiative (ASI) cases Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: Ambulatory Surgery Initiative (ASI) cases are counts of patients treated under the auspices of the Ambulatory Surgery Initiative. One case may have multiple procedures. All hospitals that treated patients under the ASI program during the reporting periods are presented, i.e., Albany Hospital, Armadale-Kelmscott Hospital, Osborne Park Hospital, Bentley Hospital, Swan District Hospital, Kaleeya Hospital, Broome Hospital and Rockingham General Hospital. Hospitals not currently implementing the ASI program. WLDC. 17/01/2014. Performance Activity and Quality Division, Department of Health, WA.
Table 25: Number of visits to dental clinics Denition: Includes: Excludes: Data source: Data extraction: Report prepared by: Number of client visits at WA public dental health clinics. Public dental clinics (metropolitan and rural). Private dental clinics. Dental Health Services. 06/01/2014. Performance Activity and Quality Division, Department of Health, WA.
Table 26: Number of patients waiting for dental services Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: Number of patients on public dental health wait list. Total patients waiting for dental clinic services are counted from extracted records as at the last day of the quarter. Public dental clinics (metropolitan and rural). Private dental clinics. Dental Health Services. 06/01/2014. Performance Activity and Quality Division, Department of Health, WA.

Table 27: Number of clients treated at the General Practitioner (GP) After Hours clinics Denition: Includes: Excludes: Data source: Data extraction: Report prepared by: Number of clients treated at GP After Hours clinics. Joondalup Health Campus, Royal Perth Hospital, Fremantle Hospital, Swan District Hospital and Rockingham-Kwinana Hospital. Clinics not funded by Department of Health, WA. GP After Hours clinics Activity Statistics. Includes data received up to 08/01/2014. Performance Activity and Quality Division, Department of Health, WA.
Table 28: Percentage of Category 1 cases treated (admitted) within clinically recommended time Denition: Guide for use: Includes: The proportion of all elective surgery Category 1 wait list cases where treatment (admission) was within the clinically recommended time of 30 days. Includes all admissions, including emergency admissions, from the elective surgery wait list during each quarter. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. All admissions from the elective surgical wait lists at WA Public Hospitals (metropolitan and rural). Public patients on elective surgical wait lists at Joondalup Health Campus. Public patients on elective surgical wait lists at Peel Health Campus. Excludes: Data source: Data extraction: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. WLDC (17/01/2014).

Table 29: Percentage of Category 2 cases treated (admitted) within clinically recommended time Denition: Guide for use: Includes: The proportion of all elective surgery Category 2 wait list cases where treatment (admission) was within the clinically recommended time of 90 days. Includes all admissions, including emergency admissions, from the elective surgery wait list during each quarter. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. Admissions from the elective surgical wait lists at WA Public Hospitals (metropolitan and rural). Public patients on elective surgical wait lists at Joondalup Health Campus. Public patients on elective surgical wait lists at Peel Health Campus. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. WLDC (17/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 30: Percentage of Category 3 cases treated (admitted) within clinically recommended time Denition: Guide for use: Includes: The proportion of all elective surgery Category 3 wait list cases where treatment (admission) was within the clinically recommended time of 365 days. Includes all admissions, including emergency admissions, from the elective surgery wait list during each quarter. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. Admissions from the elective surgical wait lists at WA Public Hospitals (metropolitan and rural). Public patients on elective surgical wait lists at Joondalup Health Campus. Public patients on elective surgical wait lists at Peel Health Campus. Excludes: Data source: Data extraction: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. WLDC (17/01/2014).

Table 31: Average overdue wait time (days) for Category 1 cases that have waited beyond the clinically recommended time Denition: Guide for use: Includes: The average overdue wait time (days) for Category 1 cases that have waited over the clinically recommended time of 30 days. Total patients on elective surgery wait lists are counted from extracted records on the last day of the quarter. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. Patients on elective surgical wait lists at WA Public Hospitals (metropolitan and rural). Public patients on elective surgical wait lists at Joondalup Health Campus. Public patients on elective surgical wait lists at Peel Health Campus. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. WLDC (17/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 32: Average overdue wait time (days) for Category 2 cases that have waited beyond the clinically recommended time Denition: Guide for use: Includes: The average overdue wait time (days) for Category 2 cases that have waited over the clinically recommended time of 90 days. Total patients on elective surgery wait lists are counted from extracted records on the last day of the quarter. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. Patients on elective surgical wait lists at WA Public Hospitals (metropolitan and rural). Public patients on elective surgical wait lists at Joondalup Health Campus. Public patients on elective surgical wait lists at Peel Health Campus. Excludes: Data source: Data extraction: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. WLDC (17/01/2014).

Table 33: Average overdue wait time (days) for Category 3 cases that have waited beyond the clinically recommended time Denition: Guide for use: Includes: The average overdue wait time (days) for Category 3 cases that have waited over the clinically recommended time of 365 days. Total patients on elective surgery wait lists are counted from extracted records on the last day of the quarter. The Australian Institute of Health and Welfare (AIHW) denitions are used for the patient counting. Patients on elective surgical wait lists at WA Public Hospitals (metropolitan and rural). Public patients on elective surgical wait lists at Joondalup Health Campus. Public patients on elective surgical wait lists at Peel Health Campus. Excludes: Data source: Data extraction: Report prepared by: Private hospitals, Graylands and Selby Authorised Lodge, and Next Step Drug and Alcohol Services, East Perth. Health Services/Performance Activity and Quality Division, Department of Health, WA. WLDC (17/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 34: NEAT total emergency department attendances Denition: Guide for use: Includes: Excludes: Data source: Data extraction: The total number of all public emergency department (ED) attendances. Includes all episodes where a patient presented at the emergency department and was registered in any manner in one of the electronic data collection systems. All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014).

Table 35: NEAT total admissions from emergency department Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: Counts of emergency department attendances where patients were admitted to a hospital ward. An admission process is the process whereby the hospital accepts responsibility for the patients care and/or treatment. All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 36: NEAT percentage of total emergency department attendances admitted Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: The proportion of all emergency department attendances where patients were admitted to a hospital ward. Data is expressed as a percentage. All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 37: NEAT total mental health emergency department admissions Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Counts of mental health emergency department attendances where patients were admitted to a hospital ward. An admission process is the process whereby the hospital accepts responsibility for the patients care and/or treatment. All participating National Emergency Access Target hospitals excluding Peel Health Campus. Refer to page 35. Peel Health Campus and all other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014).

Table 38: NEAT percentage of total emergency department attendances transferred to another hospital Denition: Guide for use: Includes: Excludes: Data source: Data extraction: Report prepared by: The proportion of all emergency department attendances where patients were transferred from the emergency department to another hospital for care. Data is expressed as a percentage. All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 39: NEAT percentage of emergency department attendances with LOE of four hours or less Denition: Guide for use: The proportion of all emergency department attendances where the time to admit, transfer or discharge the patient from the emergency department was within four hours of their presentation. Excludes patients that had an invalid presentation or departure time. Data is expressed as a percentage. Includes all valid attendances. Length of episode is counted from the time the patient presents to a staff member (nurse, clerk, etc) to the time the patient leaves the emergency department or is admitted to the Short Stay Unit. Includes: Excludes: Data source: Data extraction: All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014).

Table 40: NEAT percentage of emergency department attendances with LOE greater than twelve hours Denition: Guide for use: The proportion of all emergency department attendances where the time to admit, transfer or discharge the patient from the Emergency Department was greater than 12 hours from their time of arrival. Excludes patients that had an invalid presentation or departure time. Data is expressed as a percentage. Includes all valid attendances. Length of episode is counted from the time the patient presents to a staff member (nurse, clerk, etc) to the time the patient leaves the emergency department or is admitted to the Short Stay Unit. Includes: Excludes: Data source: Data extraction: Report prepared by: All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 41: NEAT percentage of emergency department admissions with LOE of four hours or less Denition: Guide for use: The proportion of all admissions from the emergency department where the time to admit the patient to a ward was within four hours of their presentation. An admission process is the process whereby the hospital accepts responsibility for the patients care and/or treatment. Excludes patients that had an invalid presentation or departure time. Data is expressed as a percentage. Includes all attendances that were admitted, that is, have an admission date recorded. Length of episode is counted from the time the patient presents to a staff member (nurse, clerk, etc) to the time the patient leaves the emergency department or is admitted to the Short Stay Unit. Includes: Excludes: Data source: Data extraction: All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014).

Table 42: NEAT percentage of emergency department transfers with LOE of four hours or less Denition: Guide for use: The proportion of all emergency department transfers where the time to transfer the patient to another hospital was within four hours of their presentation. Excludes records with an invalid presentation or departure time. Data is expressed as a percentage. Includes all attendances that were transferred to another hospital on ED departure. Length of episode is counted from the time the patient presents to a staff member (nurse, clerk, etc) to the time the patient leaves the emergency department or is admitted to the Short Stay Unit. Includes: Excludes: Data source: Data extraction: Report prepared by: All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014). Performance Activity and Quality Division, Department of Health, WA.
Table 43: NEAT percentage of emergency department departures with LOE of four hours or less Denition: Guide for use: The proportion of non admitted emergency department departures where the time to discharge the patient was within four hours of their presentation. Excludes records with an invalid presentation or departure time. Data is expressed as a percentage. Includes all attendances that were admitted and then transferred to another hospital on ED departure. Length of episode is counted from the time the patient presents to a staff member (nurse, clerk, etc) to the time the patient leaves the emergency department or is admitted to the Short Stay Unit. Includes: Excludes: Data source: Data extraction: All participating National Emergency Access Target hospitals. Refer to page 35. All other public and private hospitals. Performance Activity and Quality Division, Department of Health, WA. EDDC (14/01/2014).

Table 44: Ambulance Ramping Metropolitan Hospitals Denition: Guide for use: Includes: Excludes: Data source: Data extraction: The number of hours that an ambulance has to wait in excess of 20 minutes from the arrival at the Emergency Department until the ambulance is available to return to active service. Reported in hours. A 20 minute component is excluded from the count of total current contracted time to allow for time needed for moving the patient to ED, standard cleaning and restocking. Princess Margaret, Royal Perth, Sir Charles Gairdner, Fremantle, Armadale-Kelmscott, King Edward Memorial, Rockingham General and Swan District Hospitals, Joondalup Health Campus and Peel Health Campus. All other public and private hospitals. St John Ambulance Australia (SJAA). 14/01/2014.
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WA Health Performance Report

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WA Health Performance Report

October to December 2013 Quarter

WA Health Performance Report | October to December 2013 Quarter

WA Health Performance Report | October to December 2013 Quarter

WA Health Performance Report | October to December 2013 Quarter

List of Acronyms iii

WA Health Performance Report | October to December 2013 Quarter

WA Health Performance Report | October to December 2013 Quarter

WA Health Performance Report | October to December 2013 Quarter

WA Health Performance Report | October to December 2013 Quarter

WA Health Performance Report | October to December 2013 Quarter

WA Health System Performance Statewide (cont.)

WA Health Performance Report | October to December 2013 Quarter

WA Health System Performance Metropolitan

WA Health Performance Report | October to December 2013 Quarter

WA Health System Performance Metropolitan (cont.)

WA Health Performance Report | October to December 2013 Quarter

WA Health System Performance Country

WA Health Performance Report | October to December 2013 Quarter

WA Health System Performance Country (cont.)

WA Health Performance Report | October to December 2013 Quarter

1. Public Hospital Separations

Figure 1: Public hospital separations (WA State)

Previous (Mar '12 Qtr - Dec '12 Qtr)

Current (Mar '13 Qtr - Dec '13 Qtr)

Table 1: Public hospital separations*

Public Hospital Separations 1

WA Health Performance Report | October to December 2013 Quarter

1.2 Acute Separations

Figure 2: Public hospital acute separations (WA State)

Table 2: Public hospital acute separations*

Public Hospital Separations 2

WA Health Performance Report | October to December 2013 Quarter

1.3 Elective Acute Separations

Figure 3: Public hospital elective acute separations (WA State)

Previous (Mar '12 Qtr - Dec '12 Qtr)

Current (Mar '13 Qtr - Dec '13 Qtr)

Table 3: Public hospital elective acute separations*

Public Hospital Separations 3

WA Health Performance Report | October to December 2013 Quarter

1.4 Acute Medical Separations

Figure 4: Public hospital acute medical separations (WA State)

Table 4: Public hospital acute medical separations*

Public Hospital Separations 4

WA Health Performance Report | October to December 2013 Quarter

1.5 Acute Surgical Separations

Figure 5: Public hospital acute surgical separations (WA State)

Table 5: Public hospital acute surgical separations*

Public Hospital Separations 5

WA Health Performance Report | October to December 2013 Quarter

1.6 Renal Dialysis Separations

Current (Mar '13 Qtr - Dec '13 Qtr)

Figure 6: Number of renal dialysis separations (WA State)

Table 6: Number of renal dialysis separations*

Public Hospital Separations 6

WA Health Performance Report | October to December 2013 Quarter

1.7 Acute Average Length of Stay

Previous (Mar '12 Qtr - Dec '12 Qtr)

3.00 2.90 2.80 2.70 2.60 2.50

Current (Mar '13 Qtr - Dec '13 Qtr)

Public Hospital Separations 7

WA Health Performance Report | October to December 2013 Quarter

1.8 Newborn Separations

Current (Mar '13 Qtr - Dec '13 Qtr)