The Role of public accountability mechanisms Taming the Queue Conference 29 March 2012 Chris Baggoley Chief Medical Officer Australian Government Department of Health and Ageing

AUSTRALIAN CHARTER OF HEALTHCARE RIGHTS

Elective Surgery Performance  Elective Surgery Plan separations – Final Period Jul to Dec 2010 –Target311,860 –Achievement331,992 –% over target 6.5% Source: Commonwealth Reform Commission Report - Period 3 independent assessment  Performance – to Change Admissions 556,770620, ,013 Waiting Times Median wait32 days36 days + 4 days X 90th percentile226 days252 days + 26 days X % > 365 days 3.1% 2.9% - 0.2% Source: Australian Institute of Health and Welfare, Australian Hospital Statistics

Demand for Emergency Departments Australian EDs are facing rising demand, well above rates of population growth: In , there were 4.3 million presentations to EDs. By , this had risen to 6 million – an increase of nearly 40% over 5 years. Over the same period, population growth was 10%. Sources: AIHW Australian Hospital Statistics publications, to ; and Australian Bureau of Statistics Demographic Statistics Table 2. Population Change

Australian Emergency Departments: Triage Category Performance The goal of the ‘Taking Pressure Off Public Hospitals’ agreement is to raise the National Average to 80% by Sources: Australian Hospital Statistics to , produced by the Australian Institute of Health and Welfare.

Four hour length of stay to by Jurisdiction Source: Expert Panel Review of Elective and Emergency Access Targets under the National Partnership Agreement in Improving Public Hospital Services: Supplementary Annexure. Report to COAG: August 2011 p.46

Monthly performance against the Four Hour Rule Program in Western Australia **July 2008 – April 2011

Data in Queensland  Use of statistical process control charts  Using routine data  Starting point for learning and subsequent action to improve quality of care Duckett, S. et al, MJA, 19 November 2007

Queensland Health Annual Report

MyHospitals Myhospitals presents information on hospitals throughout Australia and how they compare against national and state and territory data, including: –Hospital profile –Services offered –Number of admissions –Waiting times for emergency departments and elective surgery –Safety and quality ( Staphylococcus aureus bacteraemia; hand hygiene) Visit the MyHospitals website at: