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

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3.4 DOMAIN: WORKFORCETarget/Indicator Baseline Target Actual Comments2008/09 Mar 10 Dec 09This targethas been met.PFA 9.1 Each Trustshould reduce its levelof absenteeism to 5.5%in the year to March2010, reducing to 5.2%in the year to March20114.94%5.50%5.06% Monthly Performance Report 16 February 10 26
4.0 Analysis, Additional Information and Exception Reporting by Domain4.1 Access & Targets• IP/DC/OP• Fracture• RenalAppendix I- Daycase rates by Procedure4.2 Clinical and Social Care Quality• Healthcare Associated Infectiono C Diff Analysiso MRSA Analysiso MSSA Analysiso Hand Hygieneo Compliance with Antibioticso HCAI Related Deaths• Quality Improvement Targets (Patient Care Indicators)• Children & Young People Reportingo Unallocated Child Care CasesMonthly Performance Report 16 February 10 27
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 18 and 19: PSA 5.2FamilysupportinterventionsOc
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 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 77 and 78:
and nurses station.EC Departmental
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