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Administered Funding – Acute Care Programs

Including: 13.1 Blood and Organ Donation Services; 13.2 Medical Indemnity; and 13.3 Public Hospitals and Information.

Indicator:

Access to free public hospital emergency services.

Measured by:

Number of public emergency department patients per 1,000 weighted population.

Reference Point/Target:

The same or increase on previous year.

Result: Indicator met.

Figures for 2007–08 will be available in June 2009, as required by the 2003–08 Australian Health Care Agreements.

In 2006–07, 6.7 million emergency presentations (or occasions of service) were provided to Australians. This equates to 311 presentations to emergency departments per 1,000 weighted population, an increase of 88 since 2005–06. ‘Per 1,000 weighted population' is a methodology applied by the Department to standardise the population across states and territories to make comparisons between them more meaningful.

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Table 2.3.13.1: Emergency Departments – Number of Presentations, States and Territories, 2005–07


 

Number

 

2005–06

Number
Per 1,000
Weighted
Population

 

Number

 

2006–07

Number
Per 1,000
Weighted
Population

 

Australia

4,757,098

223

6,741,304

311

Source: Department of Health and Ageing, Australian Health Care Agreement data reported by the states and territories through the Public Hospital Establishments National Minimum Data Set.


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Indicator:

Timely treatment of public emergency department patients.

Measured by:

Proportion of public emergency department patients seen within the recommended timeframe.

Reference Point/Target:

Increased proportion across each state and territory.

Result: Indicator met.

Figures for 2007–08 will be available in June 2009, as required by the 2003–08 Australian Health Care Agreements.

Around 70% of patients at emergency departments were seen within clinically recommended times in 2006–07, compared with 69% in 2005–06.


Table 2.3.13.2: Emergency Departments – Median Waiting Times for all Patients and Number Seen Within Recommended Time, States and Territories, 2005–07

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2005–06

 

2006–07

 

 

 

Minutes

 

% Seen Within Recommended Time

 

Minutes

% Seen Within Recommended Time

Australia

24

69

24

70

Source: Department of Health and Ageing, Australian Health Care Agreement data reported by the states and territories through the National Non - Admitted Patient Emergency Department National Minimum Data Set.

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Indicator:

Timely public admission of people for elective surgery.

Measured by:

Proportion of public Patients admitted for elective surgery within the clinically appropriate timeframe.

Reference Point/Target:

Increased proportion across each state and territory.

Result: Indicator met.

Figures for 2007–08 will be available in June 2009, as required by the 2003–08 Australian Health Care Agreements.

In 2006–07, 84% of patients were admitted for elective surgery within the recommended time, compared with 81% in 2005–06.


Table 2.3.13.3(a): Proportion of Patients Admitted to Public Hospitals within the Clinically Appropriate Time, by Clinical Urgency Category, States and Territories 2005–06

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Clinical Urgency Category 1 (%)

 

Clinical Urgency Category 2 (%)

 

Clinical Urgency Category 3 (%)

 

Australia

83

74

88

Table 2.3.13.3(b): Elective Surgery Proportion of Patients Admitted to Public Hospitals within the Clinically Appropriate Time, by Clinical Urgency Category,
States and Territories, 2006–07

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Clinical Urgency Category 1 (%)

 

Clinical Urgency Category 2 (%)

 

Clinical Urgency Category 3 (%)

 

Australia

88

75

92


Table 2.3.13.3(c): National Differences 2005-06 and 2006–07

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Clinical Urgency Category 1 (%)

 

Clinical Urgency Category 2 (%)

 

Clinical Urgency Category 3 (%)

 

Australia

+5

+1

+4

Source: Elective Surgery Waiting Times (additions and removals) National Minimum Data Set supplied via the Department of Health and Ageing Australian Health Care Agreement data reported annually by the states and territories.

 

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Definitions

Clinical Urgency Category: A clinical assessment of the urgency with which a patient requires elective hospital care.

Category 1: Admission within 30 days desirable for a condition that has the potential to deteriorate quickly to the point that it may become an emergency.

Category 2: Admission within 90 days desirable for a condition causing some pain, dysfunction or disability but which is not likely to deteriorate quickly or become an emergency.

Category 3: Admission at some time in the future acceptable for a condition causing minimal or no pain, dysfunction or disability, which is unlikely to deteriorate quickly and which does not have the potential to become an emergency.

 

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Indicator:

Reduction in the number of doctors requiring support under the Premium Support Scheme.

Measured by:

Number of doctors participating in the Premium Support Scheme.

Reference Point/Target:

Reduction in number of participating doctors.

Result: Indicator not met.

3,611* doctors participated in the Premium Support Scheme in 2007–08, an increase from 3,533* in 2006–07 and 3,573 in 2005–06.

It is worth noting that there has been little significant change in absolute participation numbers over the last three years.

*There is potential for small variations in participation numbers under the scheme as its reconciliation period extends 13 months after the end of the financial year. Also, doctors may move in and out of the Premium Support Scheme as their income and hours worked change.

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Indicator:

Increased rate of organ donations.

Measured by:

Rate of organ and tissue donations.

Reference Point/Target:

Increase on previous year.

Result: Indicator not met.

In 2007, there were 198 deceased organ donors in Australia, a rate of 9.4 donors per million population. This is a slight decrease on the 2006 figure of 202 donors, which equated to a rate of 10 donors per million population (dpmp).

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Year

Number of Deceased Donors

Number of Deceased dpmp

2003

179

9

2004

218

11

2005

204

10

2006

202

10

2007

198

9

Source: Australia and New Zealand Organ Donation Registry Report 2008

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Indicator:

Accurate costing and reporting of hospital activity.

Measured by:

Maintenance of the Australian Refined Diagnosis Related Groups classification and National Hospital Cost and benchmarking data.

Reference Point/Target:

National hospital cost data collection round 10 reported by August 2007.

Result: Indicator substantially met.

The 2005–06 cost weights were released in August 2007 and the Round 10 report was released in September 2007. Key findings include that:

the national average cost of a patient is $3,540, a 6.3% increase from $3,332 in Round 9 (2004–05);

the national average length of stay in public hospitals was 3.04 days, with average length of stay varying from 2.80 to 3.44 days between states and territories;

renal dialysis is still the most common procedure in Round 10 with 712,669 separations and $472 average cost, a slight decrease from $485 in Round 9; and

Ecmo cardiac surgery is the highest cost with an average cost per separation of $135,998.

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Performance Information for Outcome 13 Departmental Outputs


Output Group 1 – Policy Advice

Indicator:

Quality, relevant and timely advice for Australian Government decision-making.

Measured by:

Ministerial satisfaction.

Reference Point/Target:

Maintain or increase from previous year.

Result: Indicator met.

Ministers were satisfied with the advice provided by the Department for Australian Government decision-making. This is on par with ministerial satisfaction in 2006–07.

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Indicator:

Relevant and timely evidence-based policy research.

Measured by:

Production of relevant and timely evidence-based policy research.

Reference Point/Target:

Relevant evidence-based policy research produced in a timely manner.

Result: Indicator met.

The Department provided high quality and timely evidence-based research and analysis to inform the Government within the timeframes required.

The Department completed the Hospital Information and Performance Program Review and the National Hospital Cost Data Collection Review. The reviews' recommendations are informing improvements in information about the hospital services and costs associated with those services, and in particular improving information on trends in hospital utilisation.

The Department also continued to support the research, consultations and deliberations of the National Clinical Taskforce on Organ and Tissue Donation. The taskforce delivered its final report containing 51 recommendations for reform to the Government in February 2008 and the report was publicly released at the same time.

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Output Group 2 – Program Management

Indicator:

Administered budget predictions are met and actual expenses vary less than 0.5% from budgeted expenses.

Measured by:

Percentage that actual expenses vary from budgeted expenses.

Reference Point/Target:

0.5% variance from budgeted expenses.

Result: Indicator met.

Actual expense varied 0.4% from budgeted expense.

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Indicator:

Stakeholders to participate in program development.

Measured by:

Opportunities for stakeholder participation through a range of avenues, such as surveys, conferences and meetings.

Reference Point/Target:

Stakeholders participate in program development.

Result: Indicator met.

The Department worked with consumers, industry and all State and Territory Governments towards improving the provision of acute care hospital services.

The Elective Surgery Waiting Times Working Group, consisting of representatives from all states and territories, the Commonwealth and the Australian Institute of Health and Welfare was established to progress implementation, data development and reporting requirements for the Elective Surgery Waiting Times Reduction Plan.

The Department met quarterly with representatives of the private health insurance and private hospital industries to discuss data requirements. Major data changes also involved consultation with the sector in order to determine a way forward.

The Department also commissioned a social marketing research project, conducted in 2007–08 by the Ipsos Eureka Social Research Institute, which explored attitudes and behaviour relating to organ and tissue donation.

Performance Information for Outcome 13 Departmental Outputs

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Hospital Information and Performance Information Program

Commencement Date:

03/05/07

End Date:

31/08/08

Related Key Strategic Direction:

Improved Acute Care Information.

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Produced by the Portfolio Strategies Division, Australian Government Department of Health and Ageing.
URL: http://www.health.gov.au/internet/annrpt/publishing.nsf/Content/outcome-13-part-2-performance-information-4
If you would like to know more or give us your comments contact: annrep@health.gov.au