Output Class 1: ACT Local Hospital Network

Local Health Network Report of Factual Findings

Local Health Network Statement of Responsibility

Description

The ACT Local Hospital Network receives funding under National Health Reform Agreement and purchases public hospital services from Canberra Hospital, Calvary Public Hospital, Clare Holland House and Queen Elizabeth II Hospital.

 

  Original Target
2012‑13
Amended Target 2012‑13 Actual
Result
2012‑13
% Variance
from Original/Amended Target
1
Explanation of Material Variances Notes
Total cost ($000’s) 718,740   713,751 (7%) The variance in total costs follows a reduction in Commonwealth National Healthcare Specific Purpose Payment funding linked to population and indexation adjustments.  
Government payment for outputs (GPO) ($000’s) 429,135 542,282 560,272 3% The increase to the original target follows the approval of a Supplementary Appropriation due to delays in legislation to enable the operation of the ACT State Pool Account. The 3% increase in GPO from the amended target relates to a change to the payment arrangements for Cross Border activity between States and Territories.  
Accountability Indicators
1.Number of national weighted activity units 117,494   120,748 3%   2
1.1 Acute Services – Calvary Public Hospital3
a. Cost weighted patient separations 24,844   22,002 (11%) The Original Target for 2012‑13 included total activity for mental health, cancer, aged care and rehabilitation services and Clare Holland House (reported at outputs 1.2, 1.3, 1.4 and 1.5 respectively). The removal of the targets for outputs 1.2, 1.3, 1.4, 1.5 would reduce the target for 2012‑13 to 21,742, which is closely matched by the result for the period. 4
b. Non-admitted occasions of services 53,736   58,576 9% Calvary Hospital outpatient services have experienced significant growth in all areas in 2012‑13. 5

 

Notes

1. If the target has not been amended the variance is from the original target, otherwise the variance is from the amended target.

2. National weighted activity unit is the ‘currency’ that is used to express the price weights for all services that are funded on an activity basis.

3. These measures relates to Calvary Public Hospital only, for similar measures related to Canberra Hospital, refer to the Health Directorate Performance Report.

4. Cost weighted separations for all hospital episodes at Calvary Public Hospital, excluding those reported elsewhere (Mental Health, Cancer Services and Aged Care and Rehabilitation Service) and unqualified neonates (well babies, who are counted as part of their mother’s admission). Cost weighted separations differ from reporting raw separations, as they account for the relative complexity of each separation, thereby giving a more accurate picture of activity performed.

5. Non-admitted patient services provided at Calvary Public Hospital, excluding those services provided by Mental Health, Cancer Services and the Aged Care and Rehabilitation Service.

 

  Original Target
2012‑13
Actual
Result
2012‑13
% Variance
from Original Target
Explanation of Material Variances Notes
1.1 Acute Services – Calvary Public Hospital (Continued)3
c. Percentage of category one elective surgery patients who receive surgery within 30 days of listing 97% 97%   6
1.2 Mental Health – Calvary Public Hospital3
a. Cost weighted separations 1,424 1,256 (12%) The variance relates to a drop in demand for services at Calvary Ward 2N. 7
b. Admitted patient separations 670 493 (26%) The variance relates to a drop in demand for services at Calvary Ward 2N. 8
c. Percentage of clients with outcome measures completed 65% 88% 35% The 2012‑13 target of 65% was set in-line with the target for the Health Directorate which includes community based services. Calvary Hospital clients are all inpatients and as a result have a higher rate of outcome measures completed. 9
d. The proportion of clients contacted by a Health Directorate community facility during the 7 days post discharge from the inpatient services 75% 76% 1%   10
1.3 Cancer Services – Calvary Public Hospital3
a. Cost weighted admitted patient separations 271 249 (8%) Calvary manages a relatively small number of cost weighted inpatient separations that are directly related to cancer admissions (totalling less than 1% of all separations). The small numbers can result in major fluctuations within and between years. 11

 

Notes

6. Category one patients are those assessed by the treating medical officer as the highest priority for elective surgery requiring surgery within 30 days of assessment by a surgeon at Calvary Public Hospital.

7. Cost weighted separations for mental health relate to the Ward 2N and the Older Person’s Mental Health Inpatient Unit (OPMHIU) at Calvary Public Hospital. Cost weighted separations differ from reporting raw separations, as they account for the relative complexity of each separation, thereby giving a more accurate picture of activity performed. Ward 2N is the mental health inpatient unit at Calvary Public Hospital.

8. Raw separations from Calvary Public Hospital Ward 2N and OPMHIU. Raw separations count the number of inpatient hospital episodes.

 

  Original Target
2012‑13
Actual
Result
2012‑13
% Variance
from Original Target
Explanation of Material Variances Notes
1.3 Cancer Services – Calvary Public Hospital (Continued)3
b. Non-admitted occasions of service 2,620 3,070 17% The variance is due to increased demand for services within these cancer units. Significant growth has occurred in Medical Oncology. 12
1.4 Rehabilitation and Aged Care – Calvary Public Hospital3
a. Cost weighted admitted patient separations 789 745 (6%) The variance is due to less complex patients requiring treatment in 2012‑13. While there has been an increase in the number of rehabilitation patients in 2012‑13 compared to 2011‑12, the average length of stay for these patients has decreased when compared with the previous year due to a decrease in acuity. 13
b. Sub acute service – episodes of care 256 270 5% The average length of stay for rehabilitation patients has reduced significantly over the past year. This improvement in discharging people from hospital to home or to more appropriate services has resulted in an increase in throughput for the services. 14
c. Sub acute service – occupied bed days 9,500 6,937 (27%) The variance is due to difficulties in the recruitment of specialist geriatricians, a reduction in demand for services and reduced length of stay (on average) for rehabilitation patients. 15
1.5 Clare Holland House16
a. Cost weighted patient separations 618 618   17

 

Notes

12. Medical oncology outpatient services at Calvary Public Hospital.

13. Inpatient cost weighted activity for patients of the Aged Care and Rehabilitation Service at Calvary Public Hospital. Cost weighted separations differ from reporting raw separations, as they account for the relative complexity of each separation, thereby giving a more accurate picture of activity performed.

14. The total number of persons separated from the sub-acute services at Calvary Public Hospital.

15. Total number of persons separated from the sub-acute service at Calvary Public Hospital.

16. This measure relates to Clare Holland House, for similar measures related to Canberra Hospital, refer to the Health Directorate Performance Report.

17. Inpatient cost weighted activity for patients of the Clare Holland House. Cost weighted separations differ from reporting raw separations, as they account for the relative complexity of each separation, thereby giving a more accurate picture of activity performed.