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

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days)Target rolled overfrom 2008/09(This monitoringexcludes currentinpatients)- all patientsdischarged toreceive continuingcare plan toreceive visit within7 daysKPI ALOSEpisodic AverageLength of Stay forElective and NonElectiveAdmissions toHospitalKPI: OP DNA% patients who‘Did not attend’ anOP appointmentand did not advisethe hospital inadvance.PMSID haveindicated apotential target forthis area may beset, initialconsiderationsare 5% for newpatients and 8%for reviewpatients.PFA -Day CaseRate By March2011, all Trustsare required toachieve an overallday surgery rateof not less than75% for the‘basket’ of 24proceduresBaseline tobeestablishedProcessAverage2008/095.5Nonelective1.16ElectiveProcessAverage2008/097.5%5.6%7.5%BaselineSHSCT2007/0855.6%2008/09(Basket of24)59.5%To beagreedBenchmark8.6%(EnglishNationalAverage)TargetMarch 1175%Monitoringnot in placeJan 105.14Nonelective0.86ElectiveJan 1011%Total(Trust AvgApr-Dec 9.7%)7.4%Newpatients12.5%ReviewpatientsApr-Dec09Cumulative63.5%(coding level80.5%therefore %subject tochange)appropriatecommunityresettlementplaces.The averageLoS forelectiveepisodes inJan is betterthan theprocessaverage of08/09.Detailedreporting byprocedureincluded inAppendix I.Monthly Performance Report 16 February 10 8
KPI : %DischargesCoded-cumulativecoding positionMarch2008/09- 98.4%Target100%April – 6Jan 1081.9%KPI Freedom ofInformation (FOI)% requestsresponded towithin 20 daysSHSCTBaseline200887.5%(Regionalrange 50% -95%)Target100%Dec 0978%(7/9requests –respondedto within 20day limit)To allow forthe 20 daytime lag thisposition isbeing report amonth inarrears.KPI Staff Accessto IntranetNumber of staffas a percentageof the total Truststaffingcomplement, whohave access tothe Trust IntranetSHSCTBaselineMarch200955.72%InternalTarget55%Jan 1069.9%This targethas beenachieved.KPI IT HelpdeskresponseCalls received byIT Service Deskresolved on firstcontact. This willbe measuredagainst thebaseline at March2009SHSCTBaselineMarch20096.61%Target33%Jan 1022.1% Temporarycapacity gapin trained staffavailable isimpacting onachievementof this target.Monthly Performance Report 16 February 10 9
Page 4 and 5: CONTENTPage1.0 Context 52.0 Reporti
Page 6: 3 SUMMARY REPORT3.1 DOMAIN: EFFICIE
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 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
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St Luke's Hospital1009590Score85807
Page 63 and 64:
4. ICNA Audit Results143 audits hav
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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:
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and nurses station.EC Departmental
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