Central Coast Day Hospital ACHS Clinical Indicator Report 2H2017

Transcription

1 Central Coast Day Hospital ACHS Clinical Indicator Report 2H2017 Page 1 of 34

2 0.00 Aggregate Rate Rate FH Rate SH Rate FH C15 Conversion to GA following respiratory distress Rate SH Rate FH Rate SH Page 2 of 34

3 0.00 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH2015 Rate SH2014 Page 3 of 34

4 0.00 Aggregate Rate Rate FH Rate SH Rate FH C1 Left Wedge Excision - Treated with effect Rate SH Rate FH Rate SH Page 4 of 34

5 0.00 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Page 5 of 34

6 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Page 6 of 34

7 0.00 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Page 7 of 34

8 0.16 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH C24 - Shaking from Parkinson's DiseaseC8 - AF - transfer to Gosford EDC1 - Sinusitis C1 x2 Stye, AFC11 Patient mobility problems, comorbidity unsuitable x1 C18 High BP AF; x1 C15 Cold Sore; x1 C15 ASA Score 4 emphysema. Not suitable for GA C8 - Double amputee unable to transfer; C7- Squint surgery no longer required Page 8 of 34

9 0.05 C26 - cold Aggregate Rate Rate FH Rate SH x1 C8 Laser patient- High Anxiety Rate FH Rate SH Rate FH Rate SH C13 Eye ItchC18 Unwell - BP BSL transferred to GosfordC15 Infected eyec8 ColdC2 ColdC10 Cold Sore Page 9 of 34

10 0.21 C12 - Surgeon ill 4 pt cancelled Aggregate Rate Rate FH C24 Wrong Lens Order Rate SH C6 CMP Delay > 1hr Rate FH C6 Surgeon Delay- Patient didn't want to waitc20 Wrong Toric availablec8 Toric not ordered Rate SH Rate FH Rate SH Page 10 of 34

11 0.21 C8. C10, C15 - Anterior VitrectomyC26 - Skin Tear Aggregate Rate Rate FH AV - C10, C8, C26 C15 Corneal Abrasion C11x2, C1, C10 - Skin Tears C8 - Hypertension, Allergic ReactionC7 - Patient blocked instead of topical C7 - Allergic reaction to Chlorsig Rate SH x7 Vitrectomies - C11 x4, C13, C7, C10; x1 C13 converted to GA; X1 C6 Lens Haptic sheared off at insertion;x1 C6 Lens variation- wrong order; x1 C10 Noted infection in operated eye under microscope. T Rate FH Rate SH Rate FH Rate SH C20 AVC11 AV x2c1 AVx2C18 AVC10 AVC13 AV- Transferred to Royal NorthshoreC15 AVC6 AVC1 Allergic reaction to block- post-op swellingc18 Postop chest pain transferred to GosfordC15 Pain during procedu Page 11 of 34

12 0.00 Aggregate Rate Rate FH C19 - Adjustment of a toric lens Rate SH Rate FH Rate SH Rate FH Rate SH Page 12 of 34

13 0.00 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH C8 - A5 - Patient was over sedated hence required overnight care. No adverse outcome C13 Lens dropped- Transferred to Royal North Shore for VR surgery Page 13 of 34

14 0.05 C8 - AF, transfer to Gosford ED Aggregate Rate Rate FH Rate SH x1 C10 Noted infection in operated eye under microscope. Transferred to Sydney Hospital for ongoing care Rate FH C18 Post-op chest pain transferred to GosfordC8 AF- Transferred to GosfordC18 Cancel after arrival acute medical condition- became unwell- low BP waiting for surgery. Seen by Anesthetist. Transferred Rate SH Rate FH Rate SH Page 14 of 34

15 0.11 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH C11 - decreased vision in non-operated eyec15 - increased IOP post op DSAEK x2 - C15, C2 Delayed due the type of procedurec7 x 3 - Squint, Chlorsig allergy, Patient blocked instead of topical anaesthesia. x2 C8 Post-op pain; x1 C8 Drowsy post-op; x1 C18 Nausea; x1 C15 CMP review - Intraocular pressure post-op C6 Sedated post-opc1 Clinical review post-op delayedc15 Converted to GA and AV due to Zonule DialysisC13 Lens drop- Transferred to RNS for VR surgeryc7 Nausea and painc13 - Post-op pain Trab Page 15 of 34

16 0.31 Aggregate Rate Rate FH Rate SH C26 x2 - carer x1 and transport x1 delaysc11 x2 - carer x1 and transport x1 delaysc7 - carer delayc1 - carer delay C1 - Due to doctors review post-opx5 Carer Delaysx1 Transport Delay x1 C11 - Ambulance; x1 C10- Ambulance transport to Sydney Hospital for ongoing care;x8 Carer/transport delay : C11(x4) C10(X2) C7, C6 Rate FH Transport and carer delays Rate SH Rate FH Rate SH Page 16 of 34

17 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Page 17 of 34

18 0.00 Aggregate Rate Rate FH Rate SH A4- Needle stick injury. Initial results negative Rate FH Rate SH Rate FH Rate SH Page 18 of 34

19 0.00 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Page 19 of 34

20 0.07 C15 - Lens Fragment Aggregate Rate Rate FH C8x2 - Repositioning IOL + Vitrectomy, Cataract return for iris prolapse repair Rate SH x1 Cataract Surgery with C20 and IOL exchange and posterior vitrectomy with C21; x1 C7 For IOL adjustmentx1 Cataract Surgery with C10 readmitted for lens material removal and posterior vitrectomy by C Rate FH Rate SH Rate FH Rate SH Page 20 of 34

21 0.00 Aggregate Rate Rate FH Rate SH2016 Rate FH2016 Rate SH2015 Rate FH2015 Rate SH2014 Page 21 of 34

22 0.00 Aggregate Rate Rate FH Rate SH Rate FH C13 Transfer to RNSH for VR Surgery Rate SH Rate FH Rate SH Page 22 of 34

23 0.20 C8, C10, C15 x1 each - Awaiting Outcome Reports Aggregate Rate Rate FH PC Tears -C10, C8, C26 Rate SH x4 C11- Zonule dialysis(x2), Lens variation/change, PC tear; x1 C13- Lens variation; x1 C7 ; x1 C10 PC tear, no change of lens Rate FH C11 x2c1 x2c18, C10, C20, C13, C15, C6 x1usual follow up undertaken Rate SH Rate FH Rate SH Page 23 of 34

24 89.63 C8 - doesn't utilise antibiotics, MAAC aware Aggregate Rate Rate FH Rate SH2016 Rate FH2016 Rate SH2015 Rate FH2015 Rate SH2014 Page 24 of 34

25 0.00 Aggregate Rate Rate FH Rate SH2016 Rate FH2016 Rate SH2015 Rate FH2015 Rate SH2014 Page 25 of 34

26 0.00 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Denominator data extracted from DOX Cube to identify the secondary procedures numbers that SIMDAY cant provide.item numbers include: x x x x11 Page 26 of 34

27 68.89 Aggregate Rate Rate FH Rate SH2016 Rate FH2016 Rate SH2015 Rate FH2015 Rate SH2014 Extracted from other services revenue report from SIMDAYx1 AL037 express shuntx43 RQ075 istent Page 27 of 34

28 0.00 Aggregate Rate Rate FH Rate SH2016 Rate FH2016 Rate SH2015 Rate FH2015 Rate SH2014 Page 28 of 34

29 1.19 C8 - First surgery elsewhere Aggregate Rate Rate FH C8- Readmission for further surgery Rate SH Rate FH2016 Rate SH2015 Rate FH2015 Rate SH2014 Page 29 of 34

30 0.00 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Page 30 of 34

31 0.00 Aggregate Rate Rate FH C8- Further detachment Rate SH Rate FH Rate SH Rate FH Rate SH x2 C8; Right Posterior Vitrectomy with endolaser cryo and insertion of oil;left Retinal Detachment post vitrectomy removal of oil endo laser and cryo Page 31 of 34

32 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Data extracted from Financial reconciliation record as SIMDAY report is not accurate. SIMDAY reports re billed numbers as well Page 32 of 34

33 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH Data extracted from Financial reconciliation record as SIMDAY report is not accurate. SIMDAY reports re billed numbers as well Page 33 of 34

34 Aggregate Rate Rate FH Rate SH Rate FH Rate SH Rate FH Rate SH2014 Page 34 of 34