13. Monthly Performance Report - Southern Health and Social Care ...

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PSA 5.2FamilysupportinterventionsOct 08 –March 09153Mar 10Jan 10This targetextrapolated tofull year is ontrack.By March 2010-provide familysupportinterventions to2000 childrenin vulnerablefamilies eachyearNew Target306Extrapolatedfor full year384(Ave 32 permonth)338(cumulativeposition)(Ave 34 permonth)(DecCumulative313)PFA 5.3 -Foster CarersBy March 2010,- increasefoster carers by300 (NI target)from the March2006 totalMar 06217Mar 10275Jan 10286This target hasbeen met. Thenumber ofFoster Carersfluctuatesmonth onmonth, showingdecreases overthe last threemonths.PSA 5.1 -Children inCareBy March 1090% of childrenadmitted toresidential careprior toadmissionshould-have hadformalassessment &placementmatchedthroughChildren’sResourcesPanelBaselineQ1 0967%TargetMar 1090%Jan 10100%(2/2 child)(Q1 averagepositionApr-June67%)(Q2 averagepositionJuly-Sept57%)(Q3 averagepositionOct-Dec88%)This target issubject tovariation due tothe smallnumber ofchildreninvolved,therefore aQuarterlyaverageposition will bereferenced.CumulativeperformanceApril-Jan =73% (19/26)Monthly Performance Report 16 February 10 18
-Every childtaken into careshould have aplan forpermanenceand timescaleagreed withinsix monthsPSA 6.2 MHealthResettlementBy March 2010,resettle 60patients fromhospital toappropriatecommunityplaces fromMarch 2006position.Baselinenotavailable2006/0702007/0862008/0914CumulativePositionMar 1012(cumulatively- achieved in2008/09)MonitoringnotavailableApr –Jan 106(includesresettlementscommenced)20CumulativePositionPMSIDreporting isnow in-year(09/10) and notcumulativeperformance.Trust achievedtarget in2008/09.Target Rolledover from2008/09PSA 7.1LearningDisabilityResettlementBy March 2010-resettle 90learningdisabilitypatients fromhospital toappropriateplaces incommunityfrom March2006 position.Target rolledover from2008/09Surgical Siteinfections(SSI)Bundlecompliancerate-orthopaedics(all electivehips & knees)Mar 0702008/0918CumulativePositionOct 0815%Mar 1017Mar 0995%Apr- Jan104(includesresettlementscommenced)22CumulativePositionJan 1092.31%PMSIDreporting isnow focused onin-yearresettlementand notcumulatively.The NI SafetyForum isseeking tostandardisehow all Trustsmeasure theBundleElements. ThisMonthly Performance Report 16 February 10 19
Page 4 and 5: CONTENTPage1.0 Context 52.0 Reporti
Page 6: 3 SUMMARY REPORT3.1 DOMAIN: EFFICIE
Page 9: KPI : %DischargesCoded-cumulativeco
Page 12 and 13: PFA AHP AccessBy March 2010-no pati
Page 14 and 15: PSA 5.4: CareleaversBy March 2010in
Page 16 and 17: 3.3 DOMAIN: CLINICAL AND SOCIAL CAR
Page 20 and 21: SSI rate (Hipsonly)BundleCompliance
Page 22 and 23: -%compliancewith riskassessment-%co
Page 24 and 25: Priority 5(Target 7)PFA -Assessment
Page 26 and 27: 3.4 DOMAIN: WORKFORCETarget/Indicat
Page 28 and 29: • Re-admission Rates with Peer co
Page 30 and 31: Monthly Performance Report 16 Febru
Page 32: Renal - dialysis via fistula: This
Page 35 and 36: 0.400.350.300.250.200.150.100.05MSS
Page 37 and 38: MRSA AnalysisNew cases of MRSA2009
Page 39 and 40: Hand Hygiene Compliance AuditsHand
Page 41 and 42: Compliance with AntibioticsHospital
Page 43 and 44: MRSA - Annual trend by hospital sit
Page 45 and 46: % Bundle Compliance100%90%80%70%60%
Page 47 and 48: CHILDREN AND YOUNG PEOPLE REPORTING
Page 49 and 50: Appendix I - Daycase Rates by Proce
Page 51 and 52: Hydrocele exc IS 9 10 47.4%PROCEDUR
Page 53 and 54: STH 3 0 100.0%Varicose Veins exc IS
Page 55 and 56: ContentsSection1 Introduction2 Depa
Page 57 and 58: The overall score is an average of
Page 59 and 60: 3. Departmental Audit Results - Bre
Page 61 and 62: St Luke's Hospital1009590Score85807
Page 63 and 64: 4. ICNA Audit Results143 audits hav
Page 65 and 66: Daisy Hill Rehab Environment 24/06/
Page 67 and 68: 5. Action PlanThis Action Plan was
Page 69 and 70:
MonthHospitalRisk CategoryDepartmen
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
and nurses station.EC Departmental
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