2018 Acute Hospitals Metadata

138 Pages·2017·1.67 MB·English

Health Service Executive

Acute Hospitals 2018

Key Performance
Indicator Metadata 2018
KPI Metadata 2018
Acute Division - Beds Available
1 KPI title Beds Available - In-patient **
2 KPI Description Average Inpatient Beds Available is the number of funded beds occupied or ready and available for
A1 occupation each night of the reporting period. The cumulated figure is then divied by the number of
days in the reporting period to provide a daily average.
3 KPI Rationale To track the number of in-patient beds available in a hospital for use by inpatients.
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care  Effective Care q Safe Care
(National Standards for Safer
q Better Health and Wellbeing  Use of Information q Workforce
Better HealthCare)
 Use of Resources q Governance, Leadership and Management
4 KPI Target Target 2018: 10,857
5 KPI Calculation Numerator: Count of available beds per day in reporting period
Denominator: Number of days in month
6 Data Source Sourced from Hospitals
Data Completeness Coverage all acute hospitals 100%
Data Quality Issues All acute hospitals reporting
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually
qOther – give details:
8 Tracer Conditions As per description no. 2 above
9 Minimum Data Set BIU – Acute MDR
10 International Comparison Yes, this is an internationally recognised metric (AUS, CAN, GB, ECHI)
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther –
give details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther –
give details:
13 KPI report period Indicate the period to which the data applies
 Current (e.g. daily data reported on that same day of activity, monthly data reported within the same
month of activity) June data reported in June report
o Monthly in arrears (June data reported in July)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National oRegional q LHO Area  Hospital  Hospital Group
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) qCompStat qOther – give details:
16 Web link to data http://www.hse.ie/eng/services/Publications
17 Additional Information This KPI is noted in Divisional Operational Plan 2018
Contact details for Data Manager Derek McCormack, BIU Acute, Tel: [phone] E:[email protected]
National Lead and Division National Director Acute Hospitals Division, Dr. Steevens Hospital, Dublin 8.
Tel [phone].
KPI Metadata 2018
Acute Division - Beds Available
1 KPI title Day Beds/ Places **
2 KPI Description Day Beds/Places provide areas for day cases (patients admitted for a medical procedure or surgery in
A2 the morning and released before the evening).
Average available Day Beds/places are beds/places which are currently occupied or ready for
occupation.
3 KPI Rationale To track the number of beds/places funded in a hospital designated as a Day bed/place, where day
case treatments will take place.
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care  Effective Care q Safe Care
(National Standards for Safer
q Better Health and Wellbeing  Use of Information q Workforce
Better HealthCare)
 Use of Resources q Governance, Leadership and Management
4 KPI Target Target 2018: 2,239
5 KPI Calculation Numerator: Count of available beds per day in reporting period
Denominator: Number of days in month
6 Data Source Sourced from Hospitals
Data Completeness Coverage all acute hospitals 100%
Data Quality Issues All acute hospitals reporting
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually
qOther – give details:
8 Tracer Conditions As per description no. 2 above
9 Minimum Data Set BIU – Acute MDR
10 International Comparison Yes, this is an internationally recognised metric (AUS, CAN, GB, ECHI)
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give
details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther –
give details:
13 KPI report period Indicate the period to which the data applies
 Current (e.g. daily data reported on that same day of activity, monthly data reported within the
same month of activity) June data reported in June report
o Monthly in arrears (June data reported in July)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National oRegional q LHO Area  Hospital  Hospital Group
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) q CompStat qOther – give details:
16 Web link to data http://www.hse.ie/eng/services/Publications
17 Additional Information This KPI is noted in Divisional Operational Plan 2018
Contact details for Data Manager Derek McCormack, BIU Acute, Tel: [phone] E:[email protected]
National Lead and Division National Director Acute Hospitals Division, Dr. Steevens Hospital, Dublin 8. Tel [phone].
KPI Metadata 2018
Discharge Activity
1 KPI title Inpatient Cases
2 KPI Description A3 Number of Inpatient discharges
3 KPI Rationale
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care q Effective Care q Safe Care
(National Standards for Safer Better q Better Health and Wellbeing  Use of Information q Workforce
HealthCare)
q Use of Resources q Governance, Leadership and Management
4 KPI Target 2018 Target 2018: National 633,786 IEHG 128,763 DMHG 96,063 RCSI HG 102,655 ULHG 51,761 SSWHG 116,311
Saolta HG 113,064 Childrens HG 25,169
5 KPI Calculation Number of Inpatient discharges
6 Data Source HIPE and uncoded PAS data
Data Completeness
Data Quality Issues
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
8 Tracer Conditions Inpatients Only
9 Minimum Data Set HIPE: Discharge Date, Patient Type
10 International Comparison NA
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
13 KPI report period Indicate the period to which the data applies
q Current (e.g. daily data reported on that same day of activity, monthly data reported within the same month
of activity)
 Monthly in arrears (June data reported in August)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National q Regional  Hospital Group  Hospital
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) CompStat Other – give details:
16 Web link to data NA
17 Additional Information This KPI is noted in the Service Plan 2018
Contact details for Data Manager Data Manager: Emer Gallagher Email: [email protected] Tel: [phone]
/Specialist Lead Specialist Lead: Fiachra Bane Email: [email protected] Tel: [phone]
National Lead and Division National Lead: Maureen Cronin Division: HPO
Discharge Activity
1 KPI title Inpatient Weighted Units
2 KPI Description A4 Total weighted units for inpatient discharges
3 KPI Rationale
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care q Effective Care q Safe Care
(National Standards for Safer Better
q Better Health and Wellbeing  Use of Information q Workforce
HealthCare)
q Use of Resources q Governance, Leadership and Management
4 KPI Target 2018 Target 2018: National 635,439 IEHG 133,328 DMHG 113,316 RCSI HG 99,231 ULHG 42,857 SSWHG 117,406
Saolta HG 99,558 Childrens HG 29,742
5 KPI Calculation Total weighted units for inpatient discharges
6 Data Source HIPE, uncoded PAS data, HPO
Data Completeness
Data Quality Issues
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
8 Tracer Conditions Inpatients Only
9 Minimum Data Set HIPE: Discharge Date, Patient Type,HPO: weighted Units
10 International Comparison NA
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly Monthly qQuarterly qBi-annually qAnnually qOther – give details:
13 KPI report period Indicate the period to which the data applies
q Current (e.g. daily data reported on that same day of activity, monthly data reported within the same month
of activity)
 Monthly in arrears (June data reported in August)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National q Regional  Hospital Group  Hospital
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) q CompStat  Other – give details:
16 Web link to data NA
17 Additional Information This KPI is noted in the Service Plan 2018
Contact details for Data Manager Data Manager: Emer Gallagher Email: [email protected] Tel: [phone]
/Specialist Lead Specialist Lead: Fiachra Bane Email: [email protected] Tel: [phone]
National Lead and Division National Lead: Maureen Cronin Division: HPO
Discharge Activity
1 KPI title Daycase Cases (includes dialysis)
2 KPI Description A5 Total number of daycase discharges
3 KPI Rationale
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care q Effective Care q Safe Care
(National Standards for Safer Better
q Better Health and Wellbeing  Use of Information q Workforce
HealthCare)
q Use of Resources q Governance, Leadership and Management
4 KPI Target 2018 National 1,056,880 IEHG 190,679 DMHG 224,486 RCSI HG 151,496 ULHG 60,239 SSWHG 212,372 Saolta
HG 189,571 Childrens HG 28,037
5 KPI Calculation Total number of daycase discharges
6 Data Source HIPE and uncoded PAS data
Data Completeness
Data Quality Issues
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
8 Tracer Conditions Daycases Only
9 Minimum Data Set HIPE: Discharge Date, Patient Type
10 International Comparison NA
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
13 KPI report period Indicate the period to which the data applies
q Current (e.g. daily data reported on that same day of activity, monthly data reported within the same month
of activity)
 Monthly in arrears (June data reported in August)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National q Regional  Hospital Group  Hospital
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) CompStat Other – give details:
16 Web link to data NA
17 Additional Information This KPI is noted in the Service Plan 2018
Contact details for Data Manager Data Manager: Emer Gallagher Email: [email protected] Tel: [phone]
/Specialist Lead Specialist Lead: Fiachra Bane Email: [email protected] Tel: [phone]
National Lead and Division National Lead: Maureen Cronin Division: HPO
Discharge Activity
1 KPI title Day Case Weighted Units (includes dialysis)
2 KPI Description A6 Total weighted units for daycase discharges
3 KPI Rationale
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care q Effective Care q Safe Care
(National Standards for Safer Better
q Better Health and Wellbeing  Use of Information q Workforce
HealthCare)
q Use of Resources q Governance, Leadership and Management
4 KPI Target 2018 National 1,026,007 IEHG 207,394 DMHG 179,423 RCSI HG 139,417 ULHG 68,935 SSWHG 213,009 Saolta
HG 181,041 Childrens HG 36,788
5 KPI Calculation Total weighted units for daycase discharges
6 Data Source HIPE, uncoded PAS data, HPO
Data Completeness
Data Quality Issues
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
8 Tracer Conditions Daycases Only
9 Minimum Data Set HIPE: Discharge Date, Patient Type,HPO: weighted Units
10 International Comparison NA
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
13 KPI report period Indicate the period to which the data applies
q Current (e.g. daily data reported on that same day of activity, monthly data reported within the same month
of activity)
 Monthly in arrears (June data reported in August)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National q Regional  Hospital Group  Hospital
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) q CompStat Other – give details:
16 Web link to data NA
17 Additional Information This KPI is noted in the Service Plan 2018
Contact details for Data Manager Data Manager: Emer Gallagher Email: [email protected] Tel: [phone]
/Specialist Lead Specialist Lead: Fiachra Bane Email: [email protected] Tel: [phone]
National Lead and Division National Lead: Maureen Cronin Division: HPO
Discharge Activity
1 KPI title Total Inpatient and Day Cases cases
2 KPI Description A7 Total number Inpatient and Day Case discharges
3 KPI Rationale
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care q Effective Care q Safe Care
(National Standards for Safer Better
q Better Health and Wellbeing  Use of Information q Workforce
HealthCare)
q Use of Resources q Governance, Leadership and Management
4 KPI Target 2018 National 1,690,666 IEHG 319,442 DMHG 320,549 RCSI HG 254,151 ULHG 112,000 SSWHG 328,683 Saolta
HG 302,635 Childrens HG 53,206
5 KPI Calculation Total number Inpatient and Day Case discharges
6 Data Source HIPE and uncoded PAS data
Data Completeness
Data Quality Issues
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
8 Tracer Conditions Inpatient & Daycase Discharges
9 Minimum Data Set HIPE: Discharge Date, Patient Type
10 International Comparison NA
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
13 KPI report period Indicate the period to which the data applies
q Current (e.g. daily data reported on that same day of activity, monthly data reported within the same month
of activity)
 Monthly in arrears (June data reported in August)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National q Regional  Hospital Group  Hospital
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) CompStat Other – give details:
16 Web link to data NA
17 Additional Information This KPI is noted in the Service Plan 2018
Contact details for Data Manager Data Manager: Emer Gallagher Email: [email protected] Tel: [phone]
/Specialist Lead Specialist Lead: Fiachra Bane Email: [email protected] Tel: [phone]
National Lead and Division National Lead: Maureen Cronin Division: HPO
Discharge Activity
1 KPI title Emergency Inpatient Discharges
2 KPI Description Total Number of Emergency Inpatient Discharges
A12
3 KPI Rationale
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care q Effective Care q Safe Care
(National Standards for Safer Better
q Better Health and Wellbeing  Use of Information q Workforce
HealthCare)
q Use of Resources q Governance, Leadership and Management
4 KPI Target 2018 National 430,859 IEHG 85,625 DMHG 60,758 RCSI HG 69,794 ULHG 37,659 SSWHG 78,111 Saolta HG
79,792 Childrens HG 19,120
5 KPI Calculation Total Number of Emergency Inpatient Discharges
6 Data Source HIPE and uncoded PAS data
Data Completeness
Data Quality Issues
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
8 Tracer Conditions Admission Type equal to 4, 5 or 7
Inpatients Only
9 Minimum Data Set HIPE: Discharge Date, Patient Type, Admission Type
10 International Comparison NA
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
13 KPI report period Indicate the period to which the data applies
q Current (e.g. daily data reported on that same day of activity, monthly data reported within the same month
of activity)
 Monthly in arrears (June data reported in August)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National q Regional  Hospital Group  Hospital
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) CompStat Other – give details:
16 Web link to data NA
17 Additional Information This KPI is noted in the Service Plan 2018
Contact details for Data Manager Data Manager: Emer Gallagher Email: [email protected] Tel: [phone]
/Specialist Lead Specialist Lead: Fiachra Bane Email: [email protected] Tel: [phone]
National Lead and Division National Lead: Maureen Cronin Division: HPO
Discharge Activity
1 KPI title Elective Inpatient Discharges
2 KPI Description Total Number of elective inpatient discharges
A13
3 KPI Rationale
Indicator Classification Please tick Indicator Classification this indicator applies to:
q Person Centred Care q Effective Care q Safe Care
(National Standards for Safer Better
q Better Health and Wellbeing  Use of Information q Workforce
HealthCare)
q Use of Resources q Governance, Leadership and Management
4 KPI Target 2018 National 91,427 IEHG 18,328 DMHG 13,452 RCSI HG 10,479 ULHG 7,488 SSWHG 19,753 Saolta HG 15,878
Childrens HG 6,049
5 KPI Calculation Total Number of elective inpatient discharges
6 Data Source HIPE and uncoded PAS data
Data Completeness
Data Quality Issues
7 Data Collection Frequency Indicate how often the data to support the KPI will be collected:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
8 Tracer Conditions Admission Type equal to 1 or 2
Inpatients Only
9 Minimum Data Set HIPE: Discharge Date, Patient Type, Admission Type
10 International Comparison NA
11 KPI Monitoring KPI will be monitored :
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
Please indicate who is responsible at a local level for monitoring this KPI:
12 KPI Reporting Frequency Indicate how often the KPI will be reported:
qDaily qWeekly  Monthly qQuarterly qBi-annually qAnnually qOther – give details:
13 KPI report period Indicate the period to which the data applies
q Current (e.g. daily data reported on that same day of activity, monthly data reported within the same month
of activity)
 Monthly in arrears (June data reported in August)
q Quarterly in arrears (quarter 1 data reported in quarter 2)
q Rolling 12 months (previous 12 month period)
q Other – give details:
14 KPI Reporting Aggregation Indicate the level of aggregation – for example over a geographical location:
 National q Regional  Hospital Group  Hospital
q County q Institution q Other – give details:
15 KPI is reported in which Indicate where the KPI will be reported:
reports?  Performance Assurance Report (NSP) CompStat Other – give details:
16 Web link to data NA
17 Additional Information This KPI is noted in the Service Plan 2018
Contact details for Data Manager Data Manager: Emer Gallagher Email: [email protected] Tel: [phone]
/Specialist Lead Specialist Lead: Fiachra Bane Email: [email protected] Tel: [phone]
National Lead and Division National Lead: Maureen Cronin Division: HPO