Summary table of 2015/16 DHB performance measures
2015/16
2015/16 DHB Performance expectations
The DHB monitoring framework aims to provide a rounded view of performance using a range of performance markers. Four
dimensions are identified reflecting DHB functions as owners, funders and providers of health and disability services. The four
identified dimensions of DHB performance cover:
•
achieving Government’s priority goals/objectives and targets or ‘Policy priorities’
•
meeting service coverage requirements and Supporting sector inter-connectedness or ‘System Integration’
•
providing quality services efficiently or ‘Ownership’
•
purchasing the right mix and level of services within acceptable financial performance or ‘Outputs’.
Each performance measure has a nomenclature to assist with classification as follows:
Code
Dimension
PP
Policy Priorities
SI
System Integration
OP
Outputs
OS
Ownership
DV
Developmental – Establishment of baseline (no target/performance expectation is set)
Performance measure
2015/16 Performance expectation/target
Age 0-19
Policy priorities PP6: Improving the
health status of people with severe
mental illness through improved
access
Age 20-64
Age 65+
Policy priorities PP7: Improving mental
health
services
using
transition
(discharge) planning and employment
Long term clients
Provide a report as specified
Child and Youth
with a Transition
(discharge) plan
At least 95% of clients
discharged will have a
transition (discharge) plan.
Mental Health Provider Arm
PP8: Shorter waits for non-urgent
mental
health
and
addiction
services for 0-19 year olds
Age
<= 3 weeks
<=8 weeks
0-19
80%
95%
Addictions (Provider Arm and NGO)
Age
<= 3 weeks
<=8 weeks
0-19
80%
95%
PP10: Oral Health- Mean DMFT
score at Year 8
Ratio year 1
PP11: Children caries-free at five
years of age
Ratio year 1
PP12: Utilisation of DHB-funded
dental services by adolescents
(School Year 9 up to and including
age 17 years)
% year 1
Ratio year 2
Ratio year 2
% year 2
0-4 years - % year 1
PP13: Improving the number of
children enrolled in DHB funded
dental services
0-4 years - % year 2
Children not examined 012 years
% year 1
Children not examined 012 years
% year 2
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Summary table of 2015/16 DHB performance measures
PP20: improved management for long
term conditions (CVD, diabetes and
Stroke)
Report on delivery of the actions
milestones identified in the Annual Plan.
2015/16
and
Focus area 1: Long term conditions
Focus area 2: Diabetes Care
Improvement Packages and
Diabetes Management (HbA1c)
Focus area 3: Acute coronary
syndrome services
Narrative quarterly report on
DHB progress towards
meeting its deliverables for
Diabetes identified in the
2015/16 annual plans
Improve or, where high,
maintain the proportion of
patients with good or
acceptable glycaemic
control
70 percent of high-risk
patients will receive an
angiogram within 3 days of
admission. (‘Day of
Admission’ being ‘Day 0’)
Over 95 percent of patients
presenting with ACS who
undergo coronary
angiography have
completion of ANZACS QI
ACS and Cath/PCI registry
data collection within 30
days.
Over 95 percent of patients
undergoing cardiac surgery
at the five regional cardiac
surgery centres will have
completion of Cardiac
Surgery registry data
collection with 30 days of
discharge.
Report on delivery of the
actions and milestones
identified in the Annual Plan,
including actions and
progress in quality
improvement initiatives to
support the improvement of
ACS indicators as reported in
ANZACS-QI
6 percent of potentially
eligible stroke patients
thrombolysed
Focus area 4: Stroke Services
80 percent of stroke patients
admitted to a stroke unit or
organised stroke service
with demonstrated stroke
pathway
Report on delivery of the
actions and milestones
identified in the Annual Plan.
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Summary table of 2015/16 DHB performance measures
2015/16
IPIF Healthy Start Percentage of two year olds
fully immunised
PP21: Immunisation coverage
Percentage of five year olds
fully immunised
Percentage of eligible girls
fully immunised with three
doses of HPV vaccine
PP22: Improving system integration
PP23: Improving Wrap Around Services –
Health of Older People
PP24: Improving Waiting Times – Cancer
Multidisciplinary Meetings
Report on delivery of the actions and milestones
identified in the Annual Plan.
Report on delivery of the actions and milestones
identified in the Annual Plan.
The % of older people receiving long-term home
support who have a comprehensive clinical
assessment and an individual care plan
Report on delivery of the actions and milestones
identified in the Annual Plan.
Initiative 1: School Based Health Services (SBHS)
in decile one to three secondary schools, teen
parent units and alternative education facilities.
1. quarterly quantitative reports on the
implementation of SBHS, as per the template
provided.
2. quarterly narrative progress reports on
actions undertaken to implement Youth Health
Care in Secondary Schools: A framework for
continuous quality improvement in each
school (or group of schools) with SBHS.
Initiative 3: Youth Primary Mental Health
1. quarterly narrative progress reports with
actions undertaken in that quarter to improve
and strengthen youth primary mental health
(12-19 year olds with mild to moderate
mental health and/or addiction issues) to
achieve the following outcomes:
PP25: Prime
health project
Minister’s
youth
mental
•
early identification of mental
health and/or addiction issues
•
better access to timely and
appropriate treatment and follow up
•
equitable access for Maori, Pacific
and low decile youth populations.
Initiative 5: Improve the responsiveness of
primary care to youth.
1. quarterly narrative reports with actions
undertaken in that quarter to ensure the high
performance of the youth SLAT(s) (or
equivalent) in your local alliancing
arrangements.
2. quarterly narrative reports with actions the
youth SLAT has undertaken in that quarter to
improve the health of the DHB’s youth
population (for the 12-19 year age group at a
minimum) by addressing identified gaps in
responsiveness, access, service provision,
clinical and financial sustainability for primary
and community services for the young people,
as per your SLAT(s) work programme.
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Summary table of 2015/16 DHB performance measures
2015/16
PP26: The Mental Health & Addiction
Service Development Plan
Report on the status of quarterly milestones for a
minimum of eight actions to be completed in
2015/16 and for any actions which are in
progress/ongoing.
PP27: Delivery of the children’s action
plan
Report on delivery of the actions and milestones
identified in the Annual Plan.
Provide a progress report against DHBs’ rheumatic
fever prevention plan
PP28: Reducing Rheumatic fever
Hospitalisation rates (per
100,000 DHB total population) for
acute rheumatic fever are 55%
lower than the average over the
last 3 years
1. Coronary angiography – 95%
of accepted referrals for
elective coronary
angiography will receive their
procedure within 3 months
(90 days)
2. CT and MRI – 95% of
accepted referrals for CT
scans, and 85% of accepted
referrals for MRI scans will
receive their scan within than
6 weeks (42 days)
3. Diagnostic colonoscopy
a.
75% of people accepted for
an urgent diagnostic
colonoscopy will receive
their procedure within two
weeks (14 calendar days,
inclusive), 100% within 30
days
b.
65% of people accepted for
a non urgent diagnostic
colonoscopy will receive
their procedure within six
weeks (42 days), 100%
within 120 days
PP29: Improving waiting times for
diagnostic services
Surveillance colonoscopy
c.
65% of people waiting for a
surveillance colonoscopy
will wait no longer than
twelve weeks (84 days)
beyond the planned date,
100% within 120 days
Part A: Faster cancer treatment
– 31 day indicator
PP30: Faster cancer treatment
Part B: Shorter waits for cancer
treatment
– radiotherapy and
chemotherapy
< 10 percent of
the records
submitted by the
DHB are
declined.
All patients
ready-fortreatment
receive
treatment within
four weeks from
decision-to-treat.
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Summary table of 2015/16 DHB performance measures
2015/16
SI1: Ambulatory sensitive (avoidable)
hospital admissions
SI2: Delivery of Regional Service Plans
SI3:
Ensuring
Coverage
delivery
of
Service
Provision of a single progress report on behalf of the
region agreed by all DHBs within that region ( the
report includes local DHB actions that support
delivery of regional objectives
Report progress achieved during the quarter towards
resolution of exceptions to service coverage identified
in the Annual Plan , and not approved as long term
exceptions, and any other gaps in service coverage
major joint replacement
an intervention rate
of 21.0 per 10,000 of
population
cataract procedures
an intervention rate
of 27.0 per 10,000
cardiac surgery
SI4: Standardised
(SIRs)
Intervention
Rates
Healthy
Adult
percutaneous
revascularization
a target rate of at
least 12.5 per 10,000
of population
coronary angiography
services
a target rate of at
least 34.7.5 per
10,000 of population
-
Cervical
80% of eligible women have received cervical
screening services within the last 3 years
Elective LOS
The suggested target
is 1.59 days, which
represents the 75th
centile of national
performance.
Acute LOS
Maintenance of, or
improvement on
2013 baseline
performance
OS3: Inpatient Length of Stay
OS8: Reducing Acute Readmissions to
Hospital
OS10: Improving the quality of identity
data within the National Health Index
(NHI) and data submitted to National
Collections
Focus area 1:
DHBs with rates of
6.5 per 10,000 or
above in previous
years are required
to maintain this rate.
Provision of a qualitative report identifying progress
within the year that shows that the DHB has
delivered on its planned Whānau Ora activity and
what the impact of the activity has been
SI5: Delivery of Whānau Ora
SI6: IPIF
Screening
a target intervention
rate of 6.5 per
10,000 of population
Improving
the
total pop
75 plus
New NHI registration in error
A. Greater than 2% and less
than or equal to 4%
B. Greater than 1% and less
than or equal to 3%
C. Greater than 1.5% and
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Summary table of 2015/16 DHB performance measures
quality of identity data
2015/16
less than or equal to 6%
Recording of non-specific
ethnicity
Greater than 0.5% and less
than or equal to 2%
Update of specific ethnicity
value in existing NHI record
with a non-specific value
Greater than 0.5% and less
than or equal to 2%
Validated
unknown
addresses
Greater than 76% and less
than or equal to 85%
Invalid NHI data updates
%tbc
NBRS links to NNPAC and
NMDS
Greater than or equal to
97% and less than 99.5%
National collections file load
success
Focus area 2: Improving
the
quality of data
submitted to
National Collections
Greater than or equal to
98% and less than 99.5%
Standard
descriptors
vs
edited
Greater than or equal to
75% and less than 90%
NNPAC timeliness
Greater than or equal to
95% and less than 98%
Focus area 3: Improving
the
quality of the programme for
Integration of mental health data
(PRIMHD)
PRIMHD data quality
Routine
audits
undertaken with
appropriate
actions
where
required
Volume delivery for specialist Mental Health and
Addiction services is within:
a) five percent
variance (+/-) of planned
volumes for services measured by FTE,
Output 1: Mental health output Delivery
Against Plan
b) five percent variance (+/-) of a clinically safe
occupancy rate of 85% for inpatient services
measured by available bed day, and
c) actual expenditure on the delivery of
programmes or places is within 5% (+/-) of the
year-to-date plan
Developmental measure
patient experience
DV4:
Improving
No performance target set
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