Additional Information: Westmead is one of the largest public hospitals in Australia and is internationally recognised for quality teaching and research. Each year Westmead treats more than 55, people in the emergency department, has approximately 83, patients stay at least one night in hospital, performs over 14, surgical procedures, provides more than 1.
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Follow us on social media. Childbirth and Parenting Education. Diabetes and Endocrinology. Parramatta Chest Clinic. Genetic Medicine. In the data visualisations below, you can explore admissions from elective surgery waiting lists by:. Data is presented by intended procedure. In —16, there were 67, admissions for Cataract extraction , whereas in —20 there were 60, The length of time waited by patients on public hospital elective surgery waiting lists before being admitted for surgery between —16 and — Waiting times for elective surgery can vary depending on:.
In the data visualisation below, you can explore waiting times for elective surgery by peer group and clinical urgency category. These bar graphs show waiting time statistics waiting time in days for elective surgery in — National data is available. This table shows waiting times for elective surgery between —12 and — Data is presented by measure median waiting time, number of elective surgeries and percentage of patients who received their surgery within clinically relevant time , urgency category and peer group.
Between —16 and —20, the proportion of patients who waited more than days to be admitted:. When a patient is placed on the public hospital elective surgery waiting list, a clinical assessment is made of the urgency within which they require elective surgery the clinically recommended time.
The proportion of patients seen within the recommended time is the percentage of patients removed from elective surgery waiting lists who were admitted for surgery within the clinically recommended time for each clinical urgency category. The average overdue wait time in days is calculated for patients who were still waiting for their elective surgery as at 30 June , who were ready for care, and who had waited beyond the recommended time. Due to the lack of comparability of clinical urgency categories between states and territories, these data are presented for each state and territory separately.
In the data visualisation below, you can explore elective surgery waiting times by surgical speciality for —20 and between —16 and — Waiting times are presented at national, state and territory, LHN, and hospital level. These graphs show waiting time statistics waiting time in days for elective surgery between —16 and — Data is presented by measure median waiting time, number of elective surgeries and percentage of patients who received their surgery within clinically relevant time , surgery specialty and peer group.
Waiting list statistics for intended surgical procedures can indicate performance in particular areas of elective surgery. Information on the types of elective surgery provided by public hospitals is shown by the intended surgical procedure, for selected procedures only. These line graphs show waiting time statistics waiting time in days for elective surgery between —16 and — Data is presented by indicator procedure. This table shows the waiting times for elective surgery between —12 and — Data is presented by measure median waiting time, number of elective surgeries and percentage of patients who received their surgery within clinically relevant time , intended procedure and peer group.
Patients with a cancer-related diagnosis often require more urgent admission from public hospital elective surgery waiting lists than patients awaiting surgery for other conditions. In the data visualisations below, you can explore 50th percentile waiting times for admissions from public hospital elective surgery waiting lists for neoplasm-related principal diagnoses by specialty of surgeon, and selected hospital and LHN level data are available for —20 and — Data on cancer surgery waiting times is taken from the Admitted patient care data NHMD elective surgery cluster , — Data is presented by selected principal diagnoses for type of cancer Bladder cancer, Bowel cancer, Breast cancer, Gynaecological cancer, Kidney cancer, Lung cancer, Melanoma, Prostate cancer, and All other principal diagnoses.
Data is presented by neoplasm related diagnoses and other diagnoses by surgical speciality. In —20, patients with Neoplasm related diagnoses waited 21 days, whereas patients with Other diagnoses waited 51 days. This table shows the waiting times for malignant cancer surgery between —12 and — Data is presented by measure median waiting time for surgery for malignant cancer, number of surgeries for malignant cancer, and percentage of patients who received their surgery for malignant cancer within 30 days and within 45 days , cancer category Bowel cancer, Breast cancer and Lung cancer and peer group.
Hospital data is available. More information on cancer surgery waiting times, appendixes and caveat information is available in Admitted patient care: What procedures were performed? Refer to data tables 6. Hospitals account for a large share of the funds Australia spends on the health sector each year. One way to assess hospital efficiency is to see how much money each hospital uses in comparison to its peers to provide specific treatments or procedures.
Making comparisons is difficult, as some hospitals may use more resources to treat patients with the same diagnosis because the patients they treat are sicker and have more complex care requirements. Therefore, it is important to adjust for these differences before comparing the cost of care between hospitals. Cost per NWAU adjusts for the factors that increase hospital costs to allow comparison. In the visualisation below you can explore information on the cost per NWAU, Total national weighted activity unit, and Percentage of private patients over the three-year period from —13 to —15 by hospital in each state and territory.
This graphic explores the average cost of care between —13 and — Data is presented by measure cost per national weighted activity unit, percentage of private patients and total national weighted activity units and peer group. ABF is a system that funds hospitals according to the number and complexity of patients they treat, and the NWAU allows different hospital activities to be expressed in terms of a common unit of activity.
More intensive and expensive activities are worth more than 1 NWAU, and simpler and less expensive activities are worth less. For example, a typical case of cellulitis might be assigned 0.
It is an indicator of hospital efficiency. This reflects the average cost of care for a hospital. Various types of care are provided to admitted patients.
The care type describes the overall nature of a clinical service provided to an admitted patient during an episode of care. Care type can be classified as:.
In the data visualisation below you can explore the number of hospitalisations by care type for public and private hospitals between —16 and —20, and by hospital, between —12 to — In —20, there were 6,, Acute care separations in public hospitals and 3,, Acute care separations in private hospitals.
This table explores on the number of hospital admissions between —12 and — Data is presented by measure number of admissions and care type. Hospital-level data is available. The proportions of hospitalisations for each care type varied by hospital sector. Between —19 and —20, the number of hospitalisations for Acute care decreased by 1.
This section presents information on Newborn care provided for — Between —19 and —20, Rehabilitation care fell by an average of Palliative care is defined as care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness.
For —20, mental health care refers to hospitalisations for which the care type was reported as Mental health. The care type Mental health was introduced from 1 July Prior to this, mental health admitted patient activity was assigned to one of the other care types. More information on these data are available in the Admitted patient care — What services were provided?
An episode of Acute care for an admitted patient is one in which the principal clinical intent is to do one or more of the following:. Rehabilitation care is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with an impairment, activity limitation, or participation restriction due to a health condition.
Mental health care differs from mental health-related care reported in AIHW Mental health services reports. A separation is classified as mental health-related if:. A newborn admission to hospital can occur at any time within the first 9 days of life, including at the time of birth.
The reporting of unqualified newborns has changed over time and varies across jurisdictions. Prior to —18, newborn episodes involving unqualified care were routinely excluded from national reporting on the basis that they did not meet admission criteria for all purposes.
However, due to changes in Newborn care practices such as, care being provided to unqualified newborns on the ward rather than in a special care nursery stakeholders have expressed interest in the reporting of all newborn episodes, regardless of qualification status. Staphylococcus aureus S. SABSI can be acquired after a patient receives medical care or treatment in a hospital.
Contracting SABSI while in hospital can be life threatening and hospitals aim to have as few cases as possible. Data for public hospitals are provided by state and territory health authorities, while data for participating private hospitals are provided on a voluntary basis by individual private hospitals and private sector hospital groups. In , the Victorian government granted an exemption to all Victorian hospitals from reporting routine surveillance during the period 1 April to 31 December inclusive due to some hospitals having resource issues due to pandemic response requirements.
In the data visualisation below you can explore information on healthcare associated infections by hospital between —11 and — This figure shows the number of healthcare-associated infections between —11 and — The casemix of patients treated in private hospitals may also be different to that in public hospitals, therefore direct comparisons are unreliable. Not all private hospitals report data so reported data may not be representative of the sector as a whole. In the absence of focused clinical studies, the relationship between Staphylococcus aureus bloodstream infections and COVID is unclear.
However, the impact of hand washing as means of combatting rates of infection transmission is significant. Between and , among Australia's major public hospitals, improved hand hygiene compliance was associated with declines in the incidence of healthcare-associated SABSI incidence rate ratio 0.
Appendixes and caveat information is available on the About the data page. Data for public hospitals are provided by state and territory health authorities. Data for private hospitals are voluntarily provided by individual private hospitals and private sector hospital groups. Note that the national benchmark changed to 1. For surveillance purposes, only the first isolate per patient is counted, unless at least 14 days has passed without a positive blood culture, after which an additional episode is recorded.
A case of SABSI is considered to be healthcare-associated if the first positive blood culture is collected more than 48 hours after hospital admission or less than 48 hours after discharge, or if the first positive blood culture is collected 48 hours or less after admission and one or more of the following clinical criteria was met for the case of S. The definition of healthcare-associated S. The Commission changed the definition in , with clarification of the neutropenia criterion above. This definition of a healthcare-associated case of S.
Patient days under surveillance is the total number of days of admitted patient care under surveillance by infection control surveillance systems within the hospital. Antimicrobial resistance occurs when some of the bacteria that cause infections resist the effects of the medicines used to treat them.
SABSI caused by MRSA may cause more harm to patients and is associated with poorer patient outcomes as there are fewer antimicrobials available to treat the infection.
More information on antimicrobial resistance is available from the Department of Health website. Effects of the Australian National Hand Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical outcomes.
The Lancet. It also highlighted the importance of good hand hygiene to prevent the spread of disease. In response to COVID, the Australian Commission on Safety and Quality in Health Care promoted greater emphasis on using audit data to inform local quality improvement activities, and made Audit 2 1 April to 30 June , voluntary for data submission.
In hospitals, patients are at greater risk of getting an infection because they may be undergoing invasive procedures, have weakened immune systems or may have a pre-existing infection.
Hand hygiene in hospitals generally refers to the washing of hands or use of alcohol-based rubs by healthcare workers. Hand hygiene rates are calculated by dividing the number of correct observed hand hygiene moments by the number of observed moments by auditors in a specified audit period.
In a hospital, good hand hygiene is important and there are particular occasions when the risk of transmitting disease is increased. These are:. In Australia, these moments have been modified slightly to reflect our healthcare conditions. To measure how often healthcare workers in hospitals perform hand hygiene at these important moments, audits are continuously undertaken and reported three times a year.
The National Hand Hygiene Initiative NHHI aims to educate and promote correct hand hygiene practice in all Australian hospitals, and includes auditing and reporting processes for hospitals to measure how they are performing against the benchmark determined by the Australian Health Ministers Advisory Council.
The performance of all participating hospitals has also been increasing across the country. This can be explored below.
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