Performance Profiles emergency department care

Hospital Quarterly: July to September 2010

Suggested citation: Bureau of Health Information.

Hospital Quarterly Performance Profiles: emergency department care, July to September 2010.

Sydney (NSW); 2010.

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 2

Index of emergency departments:showing area health service and peer group

Emergency departments in this feature are organised by peer group to support comparisons. The performance

of all NSW emergency departments is summarised on pages 4 and 5.

Hospital name Area health servicePeer

groupPage

number

Armidale Hospital and New England Hospital HNEAHS C1 84

Auburn Hospital SWAHS BM 40

Bankstown / Lidcombe Hospital SSWAHS BM 42

Bathurst Base Hospital GWAHS C1 86

Belmont District Health Service HNEAHS C1 88

Blacktown Hospital SWAHS BM 44

Blue Mountains District Anzac Memorial Hospital SWAHS C2 108

Bowral and District Hospital SSWAHS C1 90

Broken Hill Health Service GWAHS C1 92

Bulli District Hospital SESIAHS C2 110

Calvary Mater Hospital HNEAHS A3 34

Camden Hospital SSWAHS C2 112

Campbelltown Hospital SSWAHS BM 46

Canterbury Hospital SSWAHS BM 48

Cessnock District Health Service HNEAHS C2 114

Coffs Harbour Base Hospital NCAHS BNM 62

Concord Hospital SSWAHS A1 6

Dubbo Base Hospital GWAHS BNM 64

Fairfield Hospital SSWAHS BM 50

Gosford Hospital NSCCAHS A1 8

Goulburn Base Hospital GSAHS C1 94

Grafton Base Hospital NCAHS C1 96

Griffith Base Hospital GSAHS C1 98

Gunnedah District Health Service HNEAHS C2 116

Hawkesbury District Health Service SWAHS C1 100

Hornsby and Ku-Ring-Gai Hospital NSCCAHS BM 52

Inverell District Health Service HNEAHS C2 118

John Hunter Hospital HNEAHS A1 10

Kempsey District Hospital NCAHS C2 120

Kurri Kurri District Health Service HNEAHS C2 122

3 PERFORMANCE REPORTS: emergency department care July to Septmeber 2010 www.bhi.nsw.gov.au

Hospital name Area health servicePeer

groupPage

number

Lismore Base Hospital NCAHS BNM 66

Lithgow Health Service SWAHS C2 124

Liverpool Hospital SSWAHS A1 12

Maitland Hospital HNEAHS BNM 68

Manly District Hospital NSCCAHS BM 54

Manning Hospital HNEAHS BNM 70

Milton and Ulladulla Hospital SESIAHS C2 126

Mona Vale and District Hospital NSCCAHS BM 56

Moree District Health Service HNEAHS C2 128

Mount Druitt Hospital SWAHS C1 102

Murwillumbah District Hospital NCAHS C2 130

Muswellbrook District Health Service HNEAHS C2 132

Narrabri District Health Service HNEAHS C2 134

Nepean Hospital SWAHS A1 14

NSW - - 4

Orange Base Hospital GWAHS BNM 72

Port Macquarie Base Hospital NCAHS BNM 74

Prince of Wales Hospital SESIAHS A1 16

Royal North Shore Hospital NSCCAHS A1 18

Royal Prince Alfred Hospital SSWAHS A1 20

Ryde Hospital NSCCAHS C1 104

Shellharbour Hospital SESIAHS C1 106

Shoalhaven and District Memorial Hospital SESIAHS BNM 76

Singleton District Health Service HNEAHS C2 136

St George Hospital SESIAHS A1 22

St Vincent's Hospital SESIAHS A1 24

Sutherland Hospital SESIAHS BM 58

Sydney Children's Hospital SESIAHS A2 30

Sydney Eye Hospital SESIAHS A3 36

Sydney Hospital SESIAHS A3 38

Tamworth Hospital HNEAHS BNM 78

The Children's Hospital at Westmead CHW A2 32

The Tweed Hospital NCAHS BNM 80

Wagga Wagga Base Hospital GSAHS BNM 82

Westmead Hospital SWAHS A1 26

Wollongong Hospital SESIAHS A1 28

Wyong Hospital NSCCAHS BM 60

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 4

New

Sou

th W

ales

New South Wales: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

New South Wales: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

507,955 patients

Emergency attendances 2 by triage category: 495,899 patients

3,068 (1%)

42,780 (9%)

154,754 (31%)

221,650 (45%)

73,647 (15%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

3,158

40,904

154,203

228,040

78,888

−3%

5%

0%

−3%

−7%

Emergency attendances by triage category and mode of separation: 3 485,981 patients

Treated and admitted to hospital (117,076)

Treated and discharged or transferred (328,084)

Patient left without, or before completing, treatment (40,821)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

1,935 (2%)

22,811 (19%)

55,233 (47%)

33,451 (29%)

3,646 (3%)

696 (0%)

18,740 (6%)

91,394 (28%)

161,377 (49%)

55,877 (17%)

14 (0%)

607 (1%)

6,605 (16%)

22,622 (55%)

10,973 (27%)

Attendances arriving by ambulance: 126,177 patients

64% 68% .

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

82%

69%

72%

87%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

99%

79%

66%

70%

87%

.

.

.

.

.

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

†

† Emergency department records for NSW recorded less than 100% triage 1 performance. The NSW Department of Health has advised that these records contained data entry errors and all patients received treatment within two minutes of being triaged. The Bureau has reported the percentage currently available on the HIE.

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 5

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have also been excluded. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100 per cent.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 18 October 2010). Ambulance data from

Ambulance Service, NSW (provided 13 October 2010).

New

Sou

th W

ales

New South Wales: Arrival to departure time in the emergency department July to September 2010

Percentage of patients who were treated and admitted by time and triage category 8

Pat

ient

s w

ho w

ere

adm

itted

(%)

Hours from arrival until admission

Percentage of patients who were treated and discharged or transferred by time and triage category 8

Pat

ient

s w

ho w

ere

not a

dmitt

ed (%

)

Hours from arrival until discharge or transfer

Emergency admission performance (EAP): 9 Percentage of patients who were treated and admitted

Arrival to admission Target: 80% admitted in 8 hours

Start of treatment to admission Target: 80% admitted in 8 hours

Same period last year

New South Wales: Emergency attendances2 by quarter July 2008 to September 2010

Num

ber

of a

tten

danc

es

0

20

40

60

80

100

0 2 4 6 8 10 12 0

20

40

60

80

100

0 2 4 6 8 10 12

61%

67%

65%

70%

0

50,000

100,000

150,000

200,000

250,000

Jul − Sep 2008

Oct − Dec 2008

Jan − Mar 2009

Apr − Jun 2009

Jul − Sep 2009

Oct − Dec 2009

Jan − Mar 2010

Apr − Jun 2010

Jul − Sep 2010

New

Sou

th W

ales

New South Wales: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

New South Wales: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

507,955 patients

Emergency attendances 2 by triage category: 495,899 patients

3,068 (1%)

42,780 (9%)

154,754 (31%)

221,650 (45%)

73,647 (15%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

3,158

40,904

154,203

228,040

78,888

−3%

5%

0%

−3%

−7%

Emergency attendances by triage category and mode of separation: 3 485,981 patients

Treated and admitted to hospital (117,076)

Treated and discharged or transferred (328,084)

Patient left without, or before completing, treatment (40,821)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

1,935 (2%)

22,811 (19%)

55,233 (47%)

33,451 (29%)

3,646 (3%)

696 (0%)

18,740 (6%)

91,394 (28%)

161,377 (49%)

55,877 (17%)

14 (0%)

607 (1%)

6,605 (16%)

22,622 (55%)

10,973 (27%)

Attendances arriving by ambulance: 126,177 patients

64% 68% .

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

82%

69%

72%

87%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

99%

79%

66%

70%

87%

.

.

.

.

.

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

Immediately life threatening

Imminently life threatening

Potentially life threatening

Potentially serious

Less urgent

1

2

3

4

5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 6

Con

cord

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y S

outh

Wes

t Are

a H

ealth

Ser

vice

Concord Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Concord Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

8,111 patients

Emergency attendances 2 by triage category: 8,055 patients

55 (1%)

538 (7%)

2,340 (29%)

4,746 (59%)

376 (5%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

84

546

2,363

4,869

338

−35%

−1%

−1%

−3%

11%

Emergency attendances by triage category and mode of separation: 3 8,024 patients

Treated and admitted to hospital (2,494)

Treated and discharged or transferred (5,326)

Patient left without, or before completing, treatment (204)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

43 (2%)

306 (12%)

1,084 (43%)

1,033 (41%)

28 (1%)

*

*

1,224 (23%)

3,542 (67%)

325 (6%)

0 (0%)

*

25 (12%)

160 (78%)

*

Attendances arriving by ambulance: 2,475 patients

69% 74% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

98%

77%

79%

97%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

97%

73%

76%

94%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 7

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have also been excluded. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100 per cent.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 18 October 2010). Ambulance data from

Ambulance Service, NSW (provided 13 October 2010).

Con

cord

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y S

outh

Wes

t Are

a H

ealth

Ser

vice

Concord Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Concord Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

8,111 patients

Emergency attendances 2 by triage category: 8,055 patients

55 (1%)

538 (7%)

2,340 (29%)

4,746 (59%)

376 (5%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

84

546

2,363

4,869

338

−35%

−1%

−1%

−3%

11%

Emergency attendances by triage category and mode of separation: 3 8,024 patients

Treated and admitted to hospital (2,494)

Treated and discharged or transferred (5,326)

Patient left without, or before completing, treatment (204)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

43 (2%)

306 (12%)

1,084 (43%)

1,033 (41%)

28 (1%)

*

*

1,224 (23%)

3,542 (67%)

325 (6%)

0 (0%)

*

25 (12%)

160 (78%)

*

Attendances arriving by ambulance: 2,475 patients

69% 74% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

98%

77%

79%

97%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

97%

73%

76%

94%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

Con

cord

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y S

outh

Wes

t Are

a H

ealth

Ser

vice

Concord Hospital: Arrival to departure time in the emergency department July to September 2010

Percentage of patients who were treated and admitted by time and triage category 8

Pat

ient

s w

ho w

ere

adm

itted

(%)

Hours from arrival until admission

Percentage of patients who were treated and discharged or transferred by time and triage category 8

Pat

ient

s w

ho w

ere

not a

dmitt

ed (%

)

Hours from arrival until discharge or transfer

Emergency admission performance (EAP): 9 Percentage of patients who were treated and admitted

Arrival to admission Target: 80% admitted in 8 hours

Start of treatment to admission Target: 80% admitted in 8 hours

Same period last year

Concord Hospital: Emergency attendances2 by quarter July 2008 to September 2010

Num

ber

of a

tten

danc

es

0

20

40

60

80

100

0 2 4 6 8 10 12 0

20

40

60

80

100

0 2 4 6 8 10 12

66%

73%

64%

70%

0

1,000

2,000

3,000

4,000

5,000

Jul − Sep 2008

Oct − Dec 2008

Jan − Mar 2009

Apr − Jun 2009

Jul − Sep 2009

Oct − Dec 2009

Jan − Mar 2010

Apr − Jun 2010

Jul − Sep 2010

Immediately life threatening

Imminently life threatening

Potentially life threatening

Potentially serious

Less urgent

1

2

3

4

5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 8

Gos

ford

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

N

orth

ern

Syd

ney

Cen

tral

Coa

st A

rea

Hea

lth S

ervi

ce

Gosford Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Gosford Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

13,852 patients

Emergency attendances 2 by triage category: 13,714 patients

50 (0%)

1,083 (8%)

3,579 (26%)

6,718 (49%)

2,284 (17%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

49

1,101

3,522

6,902

2,149

2%

−2%

2%

−3%

6%

Emergency attendances by triage category and mode of separation: 3 13,693 patients

Treated and admitted to hospital (3,791)

Treated and discharged or transferred (9,020)

Patient left without, or before completing, treatment (882)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

37 (1%)

579 (15%)

1,361 (36%)

1,694 (45%)

120 (3%)

*

*

2,142 (24%)

4,597 (51%)

1,787 (20%)

0 (0%)

13 (1%)

69 (8%)

424 (48%)

376 (43%)

Attendances arriving by ambulance: 4,435 patients

64% 65% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

67%

61%

59%

78%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

45%

50%

55%

77%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 9

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have also been excluded. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100 per cent.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 18 October 2010). Ambulance data from

Ambulance Service, NSW (provided 13 October 2010).

Gos

ford

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

N

orth

ern

Syd

ney

Cen

tral

Coa

st A

rea

Hea

lth S

ervi

ce

Gosford Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Gosford Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

13,852 patients

Emergency attendances 2 by triage category: 13,714 patients

50 (0%)

1,083 (8%)

3,579 (26%)

6,718 (49%)

2,284 (17%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

49

1,101

3,522

6,902

2,149

2%

−2%

2%

−3%

6%

Emergency attendances by triage category and mode of separation: 3 13,693 patients

Treated and admitted to hospital (3,791)

Treated and discharged or transferred (9,020)

Patient left without, or before completing, treatment (882)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

37 (1%)

579 (15%)

1,361 (36%)

1,694 (45%)

120 (3%)

*

*

2,142 (24%)

4,597 (51%)

1,787 (20%)

0 (0%)

13 (1%)

69 (8%)

424 (48%)

376 (43%)

Attendances arriving by ambulance: 4,435 patients

64% 65% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

67%

61%

59%

78%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

45%

50%

55%

77%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

Gos

ford

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

N

orth

ern

Syd

ney

Cen

tral

Coa

st A

rea

Hea

lth S

ervi

ce

Gosford Hospital: Arrival to departure time in the emergency department July to September 2010

Percentage of patients who were treated and admitted by time and triage category 8

Pat

ient

s w

ho w

ere

adm

itted

(%)

Hours from arrival until admission

Percentage of patients who were treated and discharged or transferred by time and triage category 8

Pat

ient

s w

ho w

ere

not a

dmitt

ed (%

)

Hours from arrival until discharge or transfer

Emergency admission performance (EAP): 9 Percentage of patients who were treated and admitted

Arrival to admission Target: 80% admitted in 8 hours

Start of treatment to admission Target: 80% admitted in 8 hours

Same period last year

Gosford Hospital: Emergency attendances2 by quarter July 2008 to September 2010

Num

ber

of a

tten

danc

es

0

20

40

60

80

100

0 2 4 6 8 10 12 0

20

40

60

80

100

0 2 4 6 8 10 12

60%

68%

64%

72%

0

2,000

4,000

6,000

8,000

Jul − Sep 2008

Oct − Dec 2008

Jan − Mar 2009

Apr − Jun 2009

Jul − Sep 2009

Oct − Dec 2009

Jan − Mar 2010

Apr − Jun 2010

Jul − Sep 2010

Immediately life threatening

Imminently life threatening

Potentially life threatening

Potentially serious

Less urgent

1

2

3

4

5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 10

John

Hun

ter

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

H

unte

r N

ew E

ngla

nd A

rea

Hea

lth S

ervi

ce

John Hunter Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

John Hunter Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

16,534 patients

Emergency attendances 2 by triage category: 16,462 patients

108 (1%)

1,562 (9%)

4,610 (28%)

8,234 (50%)

1,948 (12%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

130

1,344

4,764

7,871

1,903

−17%

16%

−3%

5%

2%

Emergency attendances by triage category and mode of separation: 3 15,106 patients

Treated and admitted to hospital (5,220)

Treated and discharged or transferred (8,445)

Patient left without, or before completing, treatment (1,441)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

77 (1%)

952 (18%)

1,950 (37%)

1,993 (38%)

248 (5%)

*

*

2,268 (27%)

4,514 (53%)

1,110 (13%)

0 (0%)

48 (3%)

256 (18%)

869 (60%)

268 (19%)

Attendances arriving by ambulance: 5,253 patients

54% 59% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

86%

72%

71%

86%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

88%

71%

72%

85%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 11

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have also been excluded. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100 per cent.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 18 October 2010). Ambulance data from

Ambulance Service, NSW (provided 13 October 2010).

John

Hun

ter

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

H

unte

r N

ew E

ngla

nd A

rea

Hea

lth S

ervi

ce

John Hunter Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

John Hunter Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

16,534 patients

Emergency attendances 2 by triage category: 16,462 patients

108 (1%)

1,562 (9%)

4,610 (28%)

8,234 (50%)

1,948 (12%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

130

1,344

4,764

7,871

1,903

−17%

16%

−3%

5%

2%

Emergency attendances by triage category and mode of separation: 3 15,106 patients

Treated and admitted to hospital (5,220)

Treated and discharged or transferred (8,445)

Patient left without, or before completing, treatment (1,441)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

77 (1%)

952 (18%)

1,950 (37%)

1,993 (38%)

248 (5%)

*

*

2,268 (27%)

4,514 (53%)

1,110 (13%)

0 (0%)

48 (3%)

256 (18%)

869 (60%)

268 (19%)

Attendances arriving by ambulance: 5,253 patients

54% 59% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

86%

72%

71%

86%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

88%

71%

72%

85%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

John

Hun

ter

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

H

unte

r N

ew E

ngla

nd A

rea

Hea

lth S

ervi

ce

John Hunter Hospital: Arrival to departure time in the emergency department July to September 2010

Percentage of patients who were treated and admitted by time and triage category 8

Pat

ient

s w

ho w

ere

adm

itted

(%)

Hours from arrival until admission

Percentage of patients who were treated and discharged or transferred by time and triage category 8

Pat

ient

s w

ho w

ere

not a

dmitt

ed (%

)

Hours from arrival until discharge or transfer

Emergency admission performance (EAP): 9 Percentage of patients who were treated and admitted

Arrival to admission Target: 80% admitted in 8 hours

Start of treatment to admission Target: 80% admitted in 8 hours

Same period last year

John Hunter Hospital: Emergency attendances2 by quarter July 2008 to September 2010

Num

ber

of a

tten

danc

es

0

20

40

60

80

100

0 2 4 6 8 10 12 0

20

40

60

80

100

0 2 4 6 8 10 12

62%

69%

64%

72%

0

2,000

4,000

6,000

8,000

10,000

Jul − Sep 2008

Oct − Dec 2008

Jan − Mar 2009

Apr − Jun 2009

Jul − Sep 2009

Oct − Dec 2009

Jan − Mar 2010

Apr − Jun 2010

Jul − Sep 2010

Immediately life threatening

Imminently life threatening

Potentially life threatening

Potentially serious

Less urgent

1

2

3

4

5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 12

Live

rpoo

l Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y S

outh

Wes

t Are

a H

ealth

Ser

vice

Liverpool Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Liverpool Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

15,498 patients

Emergency attendances 2 by triage category: 15,443 patients

113 (1%)

2,037 (13%)

8,745 (57%)

3,747 (24%)

801 (5%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

148

1,918

8,128

4,465

758

−24%

6%

8%

−16%

6%

Emergency attendances by triage category and mode of separation: 3 15,150 patients

Treated and admitted to hospital (5,766)

Treated and discharged or transferred (7,774)

Patient left without, or before completing, treatment (1,610)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

75 (1%)

1,481 (26%)

3,640 (63%)

500 (9%)

70 (1%)

17 (0%)

507 (7%)

4,370 (56%)

2,445 (31%)

435 (6%)

0 (0%)

24 (1%)

643 (40%)

708 (44%)

235 (15%)

Attendances arriving by ambulance: 5,537 patients

52% 55% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

85%

81%

77%

92%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

86%

74%

73%

91%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 13

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have also been excluded. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100 per cent.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 18 October 2010). Ambulance data from

Ambulance Service, NSW (provided 13 October 2010).

Live

rpoo

l Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y S

outh

Wes

t Are

a H

ealth

Ser

vice

Liverpool Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Liverpool Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

15,498 patients

Emergency attendances 2 by triage category: 15,443 patients

113 (1%)

2,037 (13%)

8,745 (57%)

3,747 (24%)

801 (5%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

148

1,918

8,128

4,465

758

−24%

6%

8%

−16%

6%

Emergency attendances by triage category and mode of separation: 3 15,150 patients

Treated and admitted to hospital (5,766)

Treated and discharged or transferred (7,774)

Patient left without, or before completing, treatment (1,610)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

75 (1%)

1,481 (26%)

3,640 (63%)

500 (9%)

70 (1%)

17 (0%)

507 (7%)

4,370 (56%)

2,445 (31%)

435 (6%)

0 (0%)

24 (1%)

643 (40%)

708 (44%)

235 (15%)

Attendances arriving by ambulance: 5,537 patients

52% 55% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

85%

81%

77%

92%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

86%

74%

73%

91%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

Live

rpoo

l Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y S

outh

Wes

t Are

a H

ealth

Ser

vice

Liverpool Hospital: Arrival to departure time in the emergency department July to September 2010

Percentage of patients who were treated and admitted by time and triage category 8

Pat

ient

s w

ho w

ere

adm

itted

(%)

Hours from arrival until admission

Percentage of patients who were treated and discharged or transferred by time and triage category 8

Pat

ient

s w

ho w

ere

not a

dmitt

ed (%

)

Hours from arrival until discharge or transfer

Emergency admission performance (EAP): 9 Percentage of patients who were treated and admitted

Arrival to admission Target: 80% admitted in 8 hours

Start of treatment to admission Target: 80% admitted in 8 hours

Same period last year

Liverpool Hospital: Emergency attendances2 by quarter July 2008 to September 2010

Num

ber

of a

tten

danc

es

0

20

40

60

80

100

0 2 4 6 8 10 12 0

20

40

60

80

100

0 2 4 6 8 10 12

50%

53%

50%

54%

0

2,000

4,000

6,000

8,000

10,000

Jul − Sep 2008

Oct − Dec 2008

Jan − Mar 2009

Apr − Jun 2009

Jul − Sep 2009

Oct − Dec 2009

Jan − Mar 2010

Apr − Jun 2010

Jul − Sep 2010

Immediately life threatening

Imminently life threatening

Potentially life threatening

Potentially serious

Less urgent

1

2

3

4

5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 14

Nep

ean

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y W

est A

rea

Hea

lth S

ervi

ce

Nepean Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Nepean Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

12,904 patients

Emergency attendances 2 by triage category: 12,852 patients

89 (1%)

1,935 (15%)

3,423 (27%)

5,418 (42%)

1,987 (15%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

99

2,167

4,726

4,908

1,073

−10%

−11%

−28%

10%

85%

Emergency attendances by triage category and mode of separation: 3 12,706 patients

Treated and admitted to hospital (4,504)

Treated and discharged or transferred (6,161)

Patient left without, or before completing, treatment (2,041)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

56 (1%)

1,263 (28%)

1,429 (32%)

1,471 (33%)

285 (6%)

20 (0%)

614 (10%)

1,514 (25%)

2,780 (45%)

1,233 (20%)

*

*

453 (22%)

1,118 (55%)

423 (21%)

Attendances arriving by ambulance: 3,996 patients

53% 55% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

83%

48%

59%

78%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

71%

42%

56%

79%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 15

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have also been excluded. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100 per cent.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 18 October 2010). Ambulance data from

Ambulance Service, NSW (provided 13 October 2010).

Nep

ean

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y W

est A

rea

Hea

lth S

ervi

ce

Nepean Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Nepean Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

12,904 patients

Emergency attendances 2 by triage category: 12,852 patients

89 (1%)

1,935 (15%)

3,423 (27%)

5,418 (42%)

1,987 (15%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

99

2,167

4,726

4,908

1,073

−10%

−11%

−28%

10%

85%

Emergency attendances by triage category and mode of separation: 3 12,706 patients

Treated and admitted to hospital (4,504)

Treated and discharged or transferred (6,161)

Patient left without, or before completing, treatment (2,041)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

56 (1%)

1,263 (28%)

1,429 (32%)

1,471 (33%)

285 (6%)

20 (0%)

614 (10%)

1,514 (25%)

2,780 (45%)

1,233 (20%)

*

*

453 (22%)

1,118 (55%)

423 (21%)

Attendances arriving by ambulance: 3,996 patients

53% 55% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

83%

48%

59%

78%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

71%

42%

56%

79%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

Nep

ean

Hos

pita

l P

rinci

pal r

efer

ral h

ospi

tals

(A1)

S

ydne

y W

est A

rea

Hea

lth S

ervi

ce

Nepean Hospital: Arrival to departure time in the emergency department July to September 2010

Percentage of patients who were treated and admitted by time and triage category 8

Pat

ient

s w

ho w

ere

adm

itted

(%)

Hours from arrival until admission

Percentage of patients who were treated and discharged or transferred by time and triage category 8

Pat

ient

s w

ho w

ere

not a

dmitt

ed (%

)

Hours from arrival until discharge or transfer

Emergency admission performance (EAP): 9 Percentage of patients who were treated and admitted

Arrival to admission Target: 80% admitted in 8 hours

Start of treatment to admission Target: 80% admitted in 8 hours

Same period last year

Nepean Hospital: Emergency attendances2 by quarter July 2008 to September 2010

Num

ber

of a

tten

danc

es

0

20

40

60

80

100

0 2 4 6 8 10 12 0

20

40

60

80

100

0 2 4 6 8 10 12

45%

54%

46%

57%

0

2,000

4,000

6,000

8,000

Jul − Sep 2008

Oct − Dec 2008

Jan − Mar 2009

Apr − Jun 2009

Jul − Sep 2009

Oct − Dec 2009

Jan − Mar 2010

Apr − Jun 2010

Jul − Sep 2010

Immediately life threatening

Imminently life threatening

Potentially life threatening

Potentially serious

Less urgent

1

2

3

4

5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 16

‡

‡

Prin

ce o

f Wal

es H

osp

ital

Prin

cipa

l ref

erra

l hos

pita

ls (A

1)

Sou

th E

aste

rn S

ydne

y Ill

awar

ra A

rea

Hea

lth S

ervi

ce

Prince of Wales Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Prince of Wales Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

10,376 patients

Emergency attendances 2 by triage category: 10,231 patients

98 (1%)

704 (7%)

4,600 (45%)

4,156 (41%)

673 (7%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

157

835

4,707

4,301

898

−38%

−16%

−2%

−3%

−25%

Emergency attendances by triage category and mode of separation: 3 10,134 patients

Treated and admitted to hospital (3,186)

Treated and discharged or transferred (5,626)

Patient left without, or before completing, treatment (1,322)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

79 (2%)

478 (15%)

1,951 (61%)

650 (20%)

28 (1%)

*

*

2,396 (43%)

2,640 (47%)

373 (7%)

*

*

223 (17%)

846 (64%)

245 (19%)

Attendances arriving by ambulance: 3,409 patients

50% 54% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

62%

37%

49%

72%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

86%

45%

47%

72%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 17

‡ Interpret this data with caution due to the implementation of a new electronic information system in this emergency department between April and June 2010.* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have also been excluded. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100 per cent.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 18 October 2010). Ambulance data from

Ambulance Service, NSW (provided 13 October 2010).

‡

‡

Prin

ce o

f Wal

es H

osp

ital

Prin

cipa

l ref

erra

l hos

pita

ls (A

1)

Sou

th E

aste

rn S

ydne

y Ill

awar

ra A

rea

Hea

lth S

ervi

ce

Prince of Wales Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Prince of Wales Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

10,376 patients

Emergency attendances 2 by triage category: 10,231 patients

98 (1%)

704 (7%)

4,600 (45%)

4,156 (41%)

673 (7%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

157

835

4,707

4,301

898

−38%

−16%

−2%

−3%

−25%

Emergency attendances by triage category and mode of separation: 3 10,134 patients

Treated and admitted to hospital (3,186)

Treated and discharged or transferred (5,626)

Patient left without, or before completing, treatment (1,322)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

79 (2%)

478 (15%)

1,951 (61%)

650 (20%)

28 (1%)

*

*

2,396 (43%)

2,640 (47%)

373 (7%)

*

*

223 (17%)

846 (64%)

245 (19%)

Attendances arriving by ambulance: 3,409 patients

50% 54% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

62%

37%

49%

72%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

86%

45%

47%

72%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

Prin

ce o

f Wal

es H

osp

ital

Prin

cipa

l ref

erra

l hos

pita

ls (A

1)

Sou

th E

aste

rn S

ydne

y Ill

awar

ra A

rea

Hea

lth S

ervi

ce

Prince of Wales Hospital: Arrival to departure time in the emergency department July to September 2010

Percentage of patients who were treated and admitted by time and triage category 8

Pat

ient

s w

ho w

ere

adm

itted

(%)

Hours from arrival until admission

Percentage of patients who were treated and discharged or transferred by time and triage category 8

Pat

ient

s w

ho w

ere

not a

dmitt

ed (%

)

Hours from arrival until discharge or transfer

Emergency admission performance (EAP): 9 Percentage of patients who were treated and admitted

Arrival to admission Target: 80% admitted in 8 hours

Start of treatment to admission Target: 80% admitted in 8 hours

Same period last year

Prince of Wales Hospital: Emergency attendances2 by quarter July 2008 to September 2010

Num

ber

of a

tten

danc

es

0

20

40

60

80

100

0 2 4 6 8 10 12 0

20

40

60

80

100

0 2 4 6 8 10 12

58%

69%

60%

70%

0

1,000

2,000

3,000

4,000

5,000

Jul − Sep 2008

Oct − Dec 2008

Jan − Mar 2009

Apr − Jun 2009

Jul − Sep 2009

Oct − Dec 2009

Jan − Mar 2010

Apr − Jun 2010

Jul − Sep 2010

Immediately life threatening

Imminently life threatening

Potentially life threatening

Potentially serious

Less urgent

1

2

3

4

5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 18

Roy

al N

orth

Sho

re H

osp

ital

Prin

cipa

l ref

erra

l hos

pita

ls (A

1)

Nor

ther

n S

ydne

y C

entr

al C

oast

Are

a H

ealth

Ser

vice

Royal North Shore Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Royal North Shore Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

14,003 patients

Emergency attendances 2 by triage category: 13,977 patients

149 (1%)

2,185 (16%)

4,718 (34%)

5,559 (40%)

1,366 (10%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

192

2,471

4,900

4,511

1,474

−22%

−12%

−4%

23%

−7%

Emergency attendances by triage category and mode of separation: 3 13,906 patients

Treated and admitted to hospital (5,299)

Treated and discharged or transferred (8,145)

Patient left without, or before completing, treatment (462)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

119 (2%)

1,342 (25%)

2,083 (39%)

1,578 (30%)

177 (3%)

15 (0%)

820 (10%)

2,515 (31%)

3,710 (46%)

1,085 (13%)

0 (0%)

15 (3%)

108 (23%)

263 (57%)

76 (16%)

Attendances arriving by ambulance: 4,140 patients

59% 54% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

91%

78%

85%

94%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

77%

66%

74%

89%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 19

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have also been excluded. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

Note: All percentages rounded to whole numbers and therefore percentages may not add to 100 per cent.Sources: Attendance, waiting and treatment time data from Health Information Exchange (extracted 18 October 2010). Ambulance data from

Ambulance Service, NSW (provided 13 October 2010).

Roy

al N

orth

Sho

re H

osp

ital

Prin

cipa

l ref

erra

l hos

pita

ls (A

1)

Nor

ther

n S

ydne

y C

entr

al C

oast

Are

a H

ealth

Ser

vice

Royal North Shore Hospital: Arrival to departure time in the emergency department July to September 2010

Percentage of patients who were treated and admitted by time and triage category 8

Pat

ient

s w

ho w

ere

adm

itted

(%)

Hours from arrival until admission

Percentage of patients who were treated and discharged or transferred by time and triage category 8

Pat

ient

s w

ho w

ere

not a

dmitt

ed (%

)

Hours from arrival until discharge or transfer

Emergency admission performance (EAP): 9 Percentage of patients who were treated and admitted

Arrival to admission Target: 80% admitted in 8 hours

Start of treatment to admission Target: 80% admitted in 8 hours

Same period last year

Royal North Shore Hospital: Emergency attendances2 by quarter July 2008 to September 2010

Num

ber

of a

tten

danc

es

0

20

40

60

80

100

0 2 4 6 8 10 12 0

20

40

60

80

100

0 2 4 6 8 10 12

67%

67%

62%

66%

0

2,000

4,000

6,000

8,000

Jul − Sep 2008

Oct − Dec 2008

Jan − Mar 2009

Apr − Jun 2009

Jul − Sep 2009

Oct − Dec 2009

Jan − Mar 2010

Apr − Jun 2010

Jul − Sep 2010

Immediately life threatening

Imminently life threatening

Potentially life threatening

Potentially serious

Less urgent

1

2

3

4

5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 20

Roy

al P

rince

Alfr

ed H

osp

ital

Prin

cipa

l ref

erra

l hos

pita

ls (A

1)

Syd

ney

Sou

th W

est A

rea

Hea

lth S

ervi

ce

Royal Prince Alfred Hospital: Patients attending the emergency department July to September 2010

All attendances: 1

Same period last year

Change since one year ago

Royal Prince Alfred Hospital: Waiting times in the emergency department July to September 2010

Transfer time (off stretcher) 4 Target: 90% transferred in 30 min.

Same period last year

Hospital peer group

(this period)

Percentage of patients who received treatment 5 by target 6 time, by triage category 7

Percentage of patients who received treatment 5 by time and triage category 7

Pat

ient

s w

ho r

ecei

ved

trea

tmen

t (%

)

Minutes from triage until treatment

15,471 patients

Emergency attendances 2 by triage category: 15,031 patients

93 (1%)

1,556 (10%)

5,455 (36%)

5,653 (38%)

2,274 (15%)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

92

1,473

5,593

5,561

2,765

1%

6%

−2%

2%

−18%

Emergency attendances by triage category and mode of separation: 3 14,912 patients

Treated and admitted to hospital (4,708)

Treated and discharged or transferred (8,866)

Patient left without, or before completing, treatment (1,338)

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

60 (1%)

945 (20%)

2,215 (47%)

1,348 (29%)

140 (3%)

13 (0%)

562 (6%)

2,952 (33%)

3,680 (42%)

1,659 (19%)

0 (0%)

31 (2%)

256 (19%)

605 (45%)

446 (33%)

Attendances arriving by ambulance: 4,971 patients

54% 58% 53%

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

100%

81%

70%

76%

91%

Target: 100% seen in 2 min.

Target: 80% seen in 10 min.

Target: 75% seen in 30 min.

Target: 70% seen in 60 min.

Target: 70% seen in 120 min.

100%

68%

56%

64%

84%

100%

83%

66%

68%

84%

0

20

40

60

80

100

0 20 40 60 80 100 120 140 160 180

Immediately life threatening 1

Imminently life threatening 2

Potentially life threatening 3

Potentially serious 4

Less urgent 5

PERFORMANCE PROFILES: emergency department care July to September 2010 www.bhi.nsw.gov.au 21

* Suppressed due to small numbers and to protect privacy. Relevant graphs are also suppressed.1. All attendances at the emergency department (ED) including emergency and non-emergency.2. All emergency attendances with a recorded triage category.3. All emergency attendances with a recorded triage category, excluding attendances with a mode of separation of transferred prior to treatment or died in ED.4. Transfer time refers to the time between arrival and transfer to the care of the ED. 5. All emergency attendances excluding those without a recorded triage category, triage time, or treatment time.6. Targets for triage levels are recommended by the Australasian College for Emergency Medicine. 7. At the start of the 2010-11 financial year, NSW modified the definition of triage performance. Patients who did not wait for care are excluded

from this measure and arrival time is used if triage time is missing. Additional detail on the effect of this can be found in the Bureau’s Technical supplement: measures of emergency department patient activity and performance.

8. All emergency attendances excluding those without a recorded triage category, treatment time, or departure time.9. At the start of the 2010-11 financial year, NSW adopted the Commonwealth definition of EAP. Patients who died in the emergency department or

were admitted and discharged from the emergency department are now included in this measure. In addition, the period now begins from the time of triage (or arrival time, if triage time missing) rather than the start of treatment. Pre-arranged admissions have als