Australia Measuring and Monitoring a Health Care Strategy About
the Performance Authority www.nhpa.gov.auwww.nhpa.gov.au About
Hospital Performance reports
www.myhospitals.gov.auwww.myhospitals.gov.au About Healthy
Communities reports
www.myhealthycommunities.gov.auwww.myhealthycommunities.gov.au
Follow us on Twitter @NHPAreporting Dr Diane Watson, Chief
Executive Officer May 2015
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Subtitle Prepared DD/MM/YYY Monitor, and report on, the
comparable performance of health care organisations to stimulate
and inform improvement in the Australian health system, increase
transparency and accountability and inform consumers Transformation
agenda: Identify high performing organisations and local areas to
facilitate sharing of innovation and effective practices Identify
poorly performing organisations and local areas to assist with
performance management activities Whats new? National Health
Performance Authority
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Mission Business strategy Our customers and their needs for
information Our products Our measures Our impact Differentiation
existing national and state organisations Whats new? National
Health Performance Authority
MyHospitals.gov.au Emergency departments Waiting times Time
spent in the ED Elective surgery Waiting times for surgery
Malignant cancers Cardiothoracic Ears, nose and throat Plus, 10
other types of surgery Quality and safety Hand hygiene Healthcare
associated SAB infections Stays in hospital Relative length of stay
Vaginal and caesarean births Medical: cellulitis, COPD, plus 3
other Surgical: appendix, plus many others Comparable costs
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National target State targets Major metro EDs: 85% of
attendances All other types of metro and regional EDs
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Web-based interactive to track individual hospitals Princess
Alexandra Most improved National target
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Peer groups based on risk of infection
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In 201112, there were 5,613 admissions for knee replacements
without complications or comorbidities in major metropolitan and
major regional public hospitals. Across similar hospitals, there is
3-fold variation in average length of stay. The average cost per
admission in major metropolitan public hospitals ranged from
$10,600 at one hospital to $29,300 at another.
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In 201112, there were 20,764 admissions for COPD without
complications or comorbidities in major metropolitan and regional
public hospitals. Across similar hospitals, there is 2-fold
variation in length of stay. The average cost per admission in
major metropolitan public hospitals ranged from $3,300 at one
hospital to $10,500 at another.
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MyHealthyCommunities.gov.au Health status and outcomes Ratings
of health Chronic conditions Prevention Immunisation rates: 1, 2
and 5 year Immunisation rates among Aboriginal children Overweight,
obesity, smoking Experiences with care Wait times for GPs Wait
times for specialists Cost barriers to GP Cost barriers to dentists
Cost barriers to specialists Use of services Visits to dentists
Visits to GPs Visits to medical specialists Expenditures on
services GP services
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MyReport Its free and easy to use Uses Healthy Communities
report data Choose from more than 130 health measures including:
Obesity rates Childhood immunisation Life expectancy Avoidable
hospitalisations Cost barriers to health care. Select the local
area/s youre interested in and follow the easy steps to generate
your custom MyReport
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Immunisation interactive tool Childhood immunisation rates by
local area and postcode on our interactive tool Join 33,000+ people
(and counting) and search results for your area 4567 Castaways
Beach Noosa (Sunshine Coast ML) 4037 Eatons Hill (Metro North
Brisbane ML)
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Public reporting as a catalyst for change Healthy Communities:
Immunisation rates for children in 201112 Almost 77,000 Australian
children not fully immunised Results were broken down to more than
300 local areas and in some cases individual postcodes More than
700 media stories over 30 days, audience reach over 29 million
Nationals largest newspaper starts No jab, no play campaign NSW
Cabinet backed legislation to amend the Public Health Act From 1
January 2014 NSW children now required by law to show immunisation
records to childcare providers at enrolment Launched 11 April
2013
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One year later Healthy Communities: Immunisation rates for
children in 201213 Rates improving, lowered by almost 2,000 (75,002
in 201213) National rate for fully immunised five-year-old children
up (90.0% in 201112 to 91.5% in 201213) *New information*
conscientious objectors and HPV Front page coverage (page two and
three spread) in the Sydney Morning Herald and coverage across
print, TV, radio and online 30 day media coverage almost 300 media
articles, audience reach over 15 million Petition for Queensland
government to improve rates (Courier Mail) Launched 27 March
2014
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One year later No jab, no play Legislative changes pending in
two additional states No jab, no play, no pay Policy, funding and
legislative changes announced Australia-wide with bipartisan
support, April 2015
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Child and maternal health impacts Looks at: antenatal visits in
the first trimester, smoking during pregnancy, low birth weight and
infant and young child mortality Young children up to three times
more likely to die depending on where they live Women up to 18
times more likely to smoke while pregnant in some areas: 1.8% in
Sydney North Shore & Beaches up to 33.1% (or 1 in 3) in Far
West NSW, Wide Bay QLD, Far North QLD, Country North SA and
Northern Territory 30 day media coverage includes more than 160
articles and audience reach of 4.1 million Released 31 July 2014
Healthy Communities: Child and maternal health in 20092012
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Exemplar communities A few local areas already stand out as
exemplars for others to emulate, in that their unusually good
performance seems to stand at odds with that of their peers
Nepean-Blue Mountains on Sydneys western fringe, a middle to
lower-income regional area, where infant and young child death
rates are lower that many high-income city areas across the nation.
A few local areas already stand out as exemplars for others to
emulate, in that their unusually good performance seems to stand at
odds with that of their peers Nepean-Blue Mountains on Sydneys
western fringe, a middle to lower-income regional area, where
infant and young child death rates are lower that many high-income
city areas across the nation.
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Exemplar communities Rural and city patient median cancer
surgery waiting times for malignant bowel, breast similar in
2012-13 Lower Murray (NSW) 5 year-old childhood immunisation rates
increased from 86.2% in 201112 to 93.9% in 201213 Princess
Alexandra hospital (Qld) improved ED waiting times
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Whats new & accelerates improvements in local care?
Differentiation from the past Locally relevant information about
health care organisations National or state level information
Comparable performance information in relation to peers and after
accounting for differences between organisations in patients Just
numbers, no comparisons, no accounting for different types of
patients served Nationally consistent lots of comparisonsNot
comparable information, too few comparisons Products fit customers
and impartialReport on oneself Community and clinical engagement:
Review the data to benchmark with your peer groups. Be open to
learning from colleagues on how to achieve best performance, and be
generous in sharing your innovations with the system.
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Keep in touch Our websites www.nhpa.gov.au
www.myhospitals.gov.au www.myhealthycommunities.gov.au Subscribe to
our news alerts Email: [email protected] Follow us on
Twitter @NHPAreporting