decreased for all public hospital peer groups. National Healthcare Agreement: PI 22-Healthcare associated infections: Staphylococcus aureus bacteraemia. Data is presented by peer group. This section presents information on the type of elective surgery provided, by surgical speciality, in 202122 and changes over recent years. The National Hand Hygiene Initiative (NHHI) aims to educate and promote correct hand hygiene practice in all Australian hospitals, and includes auditing and reporting processes for hospitals to measure how they are performing against the benchmark determined by the Australian Health Ministers Advisory Council. Hospitals Search Hospitals by Zip Code However, the impact of hand washing as means of combatting rates of infection transmission is significant. Hospital and Local Hospital Network (LHN) data is available. We welcome enquiries from journalists about our work. In Australia, these moments have been modified slightly to reflect our healthcare conditions. An emergency department (ED) stay is the period between a patient presenting at an ED, and when that person is recorded as having physically departed the ED (regardless of whether they were admitted, referred, discharged or left at their own risk). NSW Nurses and Midwives' Association (NSWNMA) Wyong Hospital branch officials requested urgent briefings with Central Coast Local Health District, after more than 300 nurses described the staffing as 'a disaster waiting to happen' in a letter to Acting Chief Executive, Brad Astill. may include significant psychosocial components, including family and carer support. The ALOS for selected AR-DRGs is an indicator of Efficiency and sustainability under the Australian Health Performance Framework (AHPF). View our media releases and contact details. The rate is rounded to one decimal place. 6.3% of patients waited more than 365 days for their surgery. These bar graphs show waiting time statistics (waiting time in days) for elective surgery in 202122. Time. Patient surveys provide a unique perspective on the healthcare system by asking people about their experiences of care. HH non-compliance is defined when there is an indication for HH (i.e. It also highlighted the importance of good hand hygiene to prevent the spread of disease. The continuation of restrictions on elective surgery admissions across some jurisdictions and the overall impact of the COVID19 pandemic in recent years should be considered when interpreting this data. Appendixes and caveat informationis available on the About the data page. In 202122, 90% of patients were admitted within 323 days, 50% of patients were admitted within 40 days and 6.3% of patients waited more than 365 days for surgery. In the data visualisations below, you can explore 50th percentile waiting times for admissions from public hospital elective surgery waiting lists for Watch an animated explanation of how hospitals average cost of care is measured: The National Weighted Activity Unit (NWAU) was developed by the Independent Hospital Pricing Authority to set the pricing of public hospital services eligible for Activity Based Funding (ABF). This figure explores waiting times in emergency departments between in 201213 and in 202122. Wyong Hospital: Time waited to receive elective surgery April to June 2018 Percentage of patients who received surgery within the clinically recommended timeframe 1 1 2 . A range of restrictions and disruptions to elective surgeries occurred as a result of COVID-19 which has impacted elective surgery waiting times across most surgical specialties from 201920 to 202122. In the data visualisation below, you can explore waiting times for elective surgery by hospital peer group and clinical urgency category of the surgery for 202122 and other recent years. A case of SABSI that is identified by a laboratory as being caused by a methicillin-resistant strain of S. aureus is referred to as MRSA. the socioeconomic status of the area that the patient lives in. See the Australian Commission on Safety and Quality in Healthcares website for more information on hand hygiene moments. The number of patients assessed by a triage nurse and waiting for treatment. However, elective surgery wait times blew out in the non-urgent category from 324 days in 2011 to 334 days in 2014 at Gosford Hospital and by a staggering 74 days at Wyong Hospital, up from 255 . some public hospitals spent almost twice as much as others to provide similar services to similar types of acute admitted patients. The patient will have complex physical, psychosocial and/or spiritual needs. This line graph shows the number of admissions between 201718 and 202122. Data is presented by measure (median waiting time for surgery for malignant cancer, number of surgeries for malignant cancer, and percentage of patients who received their surgery for malignant cancer within 30 days and within 45 days), cancer category (Bowel cancer, Breast cancer and Lung cancer) and peer group. wyong hospital waiting times . In the data visualisation below you can explore information onhealthcare associated infections by hospital between 201011 and 201920. This fluctuating pattern in recent years is likely due to restrictions and limitations in services that were able to be provided in response to COVID-19 outbreaks at different periods over these three years. The NSW Government is investing $200 million to redevelop Wyong Hospital, plus a further $6.4 million to expand the Wyong Cancer Day Unit. These column graphs show the number of presentations per 1,000 population to Australias public hospital emergency departments in 202122. In addition to reducing the likelihood of transmitting viruses such as COVID-19 or influenza, good hand hygiene is a key first line defence to prevent or reduce hospital-acquired infections, including Staphylococcus aureus (golden staph) bloodstream infections (SAB). Prior to this, between 201617 and 201920, median waiting times for elective surgeries tended to remain relatively stable across most surgical specialties. Hospital, Local Hospital Network (LHN), national, state and territory data is available. Due to the lack of comparability of clinical urgency categories between states and territories, these data are presented for each state and territory separately. Hospital data is available. The answer can vary quite a bit at New Jersey hospitals, with average wait times ranging from 14 minutes at St. Barnabas Medical Center in Livingston to as long as 92 minutes at Barnabas-owned Newark Beth Israel Medical Center in Newark,. A case (patient-episode) of SABSI is defined as a positive blood culture for S. aureus. all states and territories had rates of SABSI below the national benchmark of 2.0 cases per 10,000 patient days, there were 1,428cases of SABSI occurring during 20.0 million days of patient care under surveillance. Contracting SABSI while in hospital can be life threatening and hospitals aim to have as few cases as possible. Overall, 7.7% of ED presentations were for Aboriginal and Torres Strait Islander people. Glossary of Terms. Please see COVID changes and restrictions for more information on visiting our hospitals and health services. National, state and territory data is available. Data is presented by measure (median waiting time, number of elective surgeries and percentage of patients who received their surgery within clinically relevant time), urgency category and peer group. it included any specialised psychiatric care. For each category, the Australian College for Emergency Medicine recommends a maximum waiting time within which treatment should start: Triage 1: Resuscitation (within 2 minutes) Triage 2: Emergency (within 10 minutes) Definitions of the terms used in this section are available in the Glossary. the proportion of MRSA cases slightly decreased from 19% to 17%. This is likely due to the disproportionate impact COVID-19 had on each state and territory. it had a mental health-related principal diagnosis, which, for admitted patient care in this report, is defined as a principal diagnosis that is either: a diagnosis that falls within the section on Mental and behavioural disorders (Chapter 5) in the International Statistical Classification of Diseases and Related Health Problems, 10th revision, Australian Modification (ICD10AM) (codes F00F99), or, a number of other selected diagnoses (see the technical information) for a full list of applicable diagnoses), and/or. Data is presented by measure (hand hygiene rate and observed hand hygiene moments and public/private. patients with a cancer-related principal diagnosis had shorter waiting times (at the 50th percentile) compared with patients waiting for surgery for other reasons (22 days and 63 days, respectively). Aboriginal and Torres Strait Islander Health Performance Framework, Indigenous Mental Health and Suicide Prevention Clearinghouse, Regional Insights for Indigenous Communities, National Mental Health Service Planning Framework, Click to open the social media sharing options. The surgical speciality describes the area of clinical expertise held by the doctor scheduled to perform the elective surgery. A specialised service unit is a facility or unit dedicated to the treatment or care of patients with particular conditions or characteristics, such as an intensive care unit. After receiving treatment in an emergency department, a patient can either be discharged home, admitted to the hospital, or transferred to another hospital. A SABSI case that is identified by a laboratory as being caused by a S. aureus strain that is sensitive to commonly used antimicrobials (methicillin-sensitive) is referred to as MSSA. Mental health care is defined as care in which the primary clinical purpose or treatment goal is improvement in the symptoms and/or psychosocial, environmental and physical functioning related to a patients mental disorder. Local Hospital Network (LHN), and hospital level (for all intended procedures). Making comparisons is difficult, as some hospitals may use more resources to treat patients with the same diagnosis because the patients they treat are sicker and have more complex care requirements. The Trust board of directors' heard that in January it was the best performing Trust in the region for ambulance hand over. Disclaimer: Information provided on this website is intended to be used as a general guide only. Median time: The median is the middle value of all observations, once they have been ordered from the lowest to the highest value. Hand hygiene is a key element of a comprehensive suite of initiatives to prevent and reduce healthcare-associated infections in Australian healthcare settings. Hospital, Local Hospital Network (LHN), national, and state and territory data is available. The most seriously ill patients are seen immediately. For 202021, mental health care refers to hospitalisations for which the care type was reported as Mental health. National data is available. Waiting list statistics for intended surgical procedures can indicate performance in particular areas of elective surgery. In NSW, admissions decreased by 27%, while admissions increased in Tasmania by 11%. National, state and territory data is available. Non-urgent: within 120 minutes. Clinicians are focused on providing immediate and essential care, rather than recording times, therefore times to start treatment are generally not reported for this category. Resuscitation: Immediate (within seconds), 50th percentile (median) waiting time(half of all people waited less than this time). An average public hospital service is worth 1 NWAU. The 15 indicator procedures accounted for 32% of admissions from elective surgery waiting lists. The time in which 90% of patients completed their ED care was longer for patients who were subsequently admitted to the hospital (15 hours, 37 minutes) than for patients who were not admitted (6 hours, 38 minutes). after a procedure or body fluid exposure risk, Since they are based on a sample of moments, hand hygiene rates should be interpreted alongside their confidence interval. The proportion of patients seen within the recommended time is the percentage of patients who were admitted for surgery within the clinically recommended time as defined by their clinical urgency category. Which treatments have the longest waiting lists? In the data visualisations below, you can explore data about admissions from elective surgery waiting lists for 15 intended procedures and other procedures for 202122 and recent years by: The 15 intended procedures selected were previously known as indicator procedures, chosen due to their typically high volume of admissions and long wait times. The other category contains data for surgeons whose speciality was not one of the 11 specified categories. This reflects the average cost of care for a hospital. data from 2017 onwards should be compared to the benchmark of 80%. over 9 in 10 (94%)hospitalisations were classified as episodes of, the most common principal diagnosis (at the 3-chartacter level) reported for overnight acute hospitalisations was, almost 1 in 4 (23%) of same-day acute hospitalisations had aprincipal diagnosis of, In 202021, the number of hospitalisations for, 95%)hospitalisations for newborn care were, increased by 7.1% in public hospitals and 5.9% in private hospitalscompared with 201920, Rehabilitation care accounted for over 9 in 10 (95%) of, females accounted for more than half (56%) of all, Indigenous Australians had lower hospitalisations rates for, of the 49,000 hospitalisations with a care type of, almost 9 in 10 (88%) hospitalisationsin public hospitals involved a stay of at least one night, females accounted for 3 in 5 (59%) of all. ABS (Australian Bureau of Statistics) (2022)Estimates of Aboriginal and Torres Strait Islander Australians, ABS website, accessed 20 October 2022. Data is presented by unit category. The SABSI rate is calculated as the number of healthcare-associated cases of S. aureus divided by the total number of patient days under surveillance (x 10,000). This section presents information on Newborn care provided for 202021. for overnight hospitalisations, the ALOS in all hospitals combined was relatively stable between 201617 and 202021, decreasing by an average of 0.9% each year over this period. In a hospital, good hand hygiene is important and there are particular occasions when the risk of transmitting disease is increased. Comparisons with this audit period should be made with caution. This table shows the number of presentations to Australias public hospital emergency departments between 201213 to 202122, by triage category and peer group. An increase for the national hand hygiene benchmark to 75% in 2016, followed by an increase to 80% in 2017, Reporting against a benchmark for 75% in 2016, and 80% in 2017, for all professional groups. Data for public hospitals are provided by state and territory health authorities, while data for participating private hospitals are provided on a voluntary basis by individual private hospitals and private sector hospital groups. National, state and territory data is available. Having been a general practitioner for ten years, Dr Beattie has special interests in Women and Childrens Health, Family Planning, Weight Loss, Diabetes and Asthma, Chronic Disease Management and Skin Cancer removals CALL US ON 02 4353 0255 ORu0003BOOK YOUR APPOINTMENT ONLINE BOOK ONLINE Choose a package that's right for you Bronze Package $99 TheLancet. The current nationally agreed benchmark set under the National Healthcare Agreement (NHA) is no more than 2.0 cases of healthcare-associated SABSI per 10,000 days of patient care for public hospitals in each state and territory. the average cost of care (Cost per NWAU) ranged from $3,300 at one hospital to $6,400 at another. 20 East 46th . The latest statistics from the Bureau of Health show that waiting times for surgery and emergency departments at Wyong and Gosford hospitals are among the worst five in the state. Between 202021 and 202122, decreases in the 50th and 90th percentile waiting times occurred across almost all states/territories. includes a subset of comparable running costs, which were accounted for similarly across states and territories. Data is presented by admission status. For every 10% increase in hand hygiene compliance, the incidence of healthcare-associated SABSI decreased by 15%. The number of patients added in 202021 (893,200) was a 6.6% increase in the number of additions from the previous year and was affected by the easing of restrictions placed on elective surgery and healthcare services more generally in the previous year. Hand hygiene data are provided by state and territory health authorities for public hospitals and by individual private hospitals. This figure shows the number of specialised service units in 2017-18, 2018-19 and201920. 2018. Refer to More information about the data section below for definitions of qualified and unqualified care. Once . In 202122, there were 8,789,877presentations to emergency departments, which amounted to 338 presentations per 1,000 population in Australia. To ensure the national comparability of public hospitals, the cost per NWAU: Cost per NWAU is calculated by dividing the total comparable running costs by the total NWAUs for acute admitted patients. SABSI caused by MRSA may cause more harm to patients and is associated with poorer patient outcomes as there are fewer antimicrobials available to treat the infection. Data is presented by measure (median waiting time (50%), number of presentations, percentage who depart within 4 hours and time until most (90%) depart), triage category and peer group. Appendixes and caveat information for this data is available to download in the Info and downloads section. Note that the national benchmark changed to 1.0 cases per 10,000 patient days under surveillance from 1 July 2020. Use our information tools to find out more about healthcare performance in NSW. Previous reports can be accessed in the Reports section. Patient days under surveillance is the total number of days of admitted patient care under surveillance by infection control surveillance systems within the hospital. Prior to 201718, newborn episodes involving unqualified care were routinely excluded from national reporting on the basis that they did not meet admission criteria for all purposes. Wait times are updated on the website every 15 minutes. Examples of medical emergencies include sudden collapse, chest pressure or pain lasting more than 10 minutes, breathing difficulty and uncontrollable bleeding. In 202122, admissions from elective surgery waiting lists decreased overall by 17% compared with 2020-21, likely due to COVID-19 restrictions and limitations on hospital services during this period. Hospital data is available. . Waiting times data provides information about the length of time waited by patients on public hospital elective surgery waiting lists before being admitted for surgery. The time within which 90% of presentations were seen was 1 hour and 57 minutes, an increase from 1 hour and 39 minutes in 201718. In fact, the three Newark hospitals have the three longest waits for emergency care, with Newark Beth Israel followed by University Hospital, at 84 minutes, and Saint Michael's Medical Center, at 77 minutes. Cost per NWAU is the cost associated with providing one average unit (1 NWAU) of public hospital service, based on public hospital services provided to acute admitted patients whose treatment was eligible for ABF. In 201718, 90% of patients were admitted within 268days, whereas in 202122, 90% of patients were admitted within 323 days. Data is presented by public/private. Get in touch to request embargoed access to reports and information, or to be added to our media release list. One way to assess hospital efficiency is to see how much money each hospital uses in comparison to its peers to provide specific treatments or procedures. Data is presented by admission status (all, subsequently admitted or not admitted), peer group and triage category. Patients are always seen in order of clinical urgency. In 202021, the number of hospitalisations for Acute care increased by 3.8% for public hospitals and by 11.1% for private hospitals compared with 201920. cancer-related principal diagnoses by specialty of surgeon, and selected hospital and LHN level data are available for 201112 and 201213. Reporting against a benchmark for 75% in 2016, and 80% in 2017, for each of the five moments. For surveillance purposes, only the first isolate per patient is counted, unless at least 14 days has passed without a positive blood culture, after which an additional episode is recorded. ABS (2022)Regional population, ABS website, accessed 20 October 2022. policy interest, as evidenced by(1) inclusion of similar groups in other tables in Australian hospital statistics, such as indicator procedures for elective surgery waiting time, (2)high volume and/or cost and (3)changes in volume over years. The data are derived from audits of hand hygiene momentsthat are conducted continuously over three reporting periods each year. The new six-storey clinical services building delivered under the $200 million Wyong Hospital Redevelopment is set to open to patients on Tuesday 12 October. This graphic explores emergency department waiting time statistics between 201213 and 202122. This graphic explores the average cost of care between 201213 and 201415. In 202122, there were 345.9presentations for females and 338.1 for males, per 1,000 population. For example, a typical case of cellulitis might be assigned 0.7 NWAUs, as this condition requires fewer hospital resources than, for example, a typical knee replacement, which is assigned 4.0 NWAUs. Data is presented by surgical specialty. Hospital data is available. For example. Regular reporting on healthcare performance. local Hospital Network (LHN)(where data is available), In 202122, while, overall, males accounted for 49% of all. 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