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2010/2011 Quarter 1 results
back to Health Targets
Our comments
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Shorter stays in emergency departments
We continue to work towards the ED target and have been affected by
increased demand over the winter period. The Emergency Department at
Waikato Hospital has met the 95 per cent target on a number of
occasions but the overall figure is an aggregate of all presentations
so is affected by other services. It is important to emphasise that
this is a whole of hospital target and all areas have a significant
role to play in working with ED to help improve performance to meet 95
per cent.
Improved access to elective surgery; and Shorter waits for cancer treatment
I’m very pleased we have maintained our excellent performance against
the elective services and cancer targets and it is good to see progress
also against the smoking cessation target.
Jan Adams, Health Waikato Chief Operating Officer
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Increased immunisation
After a huge jump in immunisation performance from 73% in June 2008 to
86% in June 2010 progress has slowed. Commitment to improve remains
strong among immunisation providers with a number of practices already
achieving results well over the 90% target and many of those that are
lower than this working hard to improve further.
Better diabetes and cardiovascular services
The improvement from 16th ranked at the end of 2009/10 to third for the
first quarter of 2010/11 is an exciting hint of the potential for
improvement in this indicator. This is the most complicated of the
health targets being comprised of three parts. The main area that has
contributed to the improvement that has been seen is in free annual
diabetes reviews where a big catch up programme in primary care has
moved us well ahead.
While this level can’t be sustained, in the short-term work is underway
between primary care and the DHB to ensure a sustained improvement in
performance in the longer term.
Brett Paradine, General Manager of Planning and Funding
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Better help for smokers to quit
While there was a slight decrease in smokers being offered support to
quit smoking in September, our latest results show we are well on the
way to achieving the 90 per cent target.
Health professionals providing this support will have the most profound
influence over that individual's and / or population’s future health
status.
Smoking status and the help offered is now incorporated into patient
treatment plans, and will soon be linked to discharge plans.
Sue Hayward, Director of Nursing and Midwifery
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Shorter stays in Emergency Departments
The target is 95 percent of patients will be admitted, discharged,
or transferred from an Emergency Department (ED) within six hours.
The target is a measure of the efficiency of flow of acute (urgent) patients through public hospitals, and home again.
Target champion comments
Although Waikato DHB has achieved a good improvement in performance against the target compared to the same quarter last year, progress has slowed in recent quarters and a number of key challenges remain.
As noted in the report following my visit in September, a number of significant changes need to be made by the DHB if these challenges are to be addressed and further progress towards the target achieved during 2010/11.
Professor Mike Ardagh
National Clinical Director of Emergency Department Services
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Improved access to elective surgery
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The target is an increase in the volume of elective surgery by an average of 4000 discharges per year .
*DHBs planned to deliver 35,616 in quarter one, and have delivered 362 discharges more.
Target champion comments
Waikato DHB has achieved its quarter one health target providing 3323 people with elective surgery.
This is a good result, and is 116 (4 percent) more than planned.
Clare Perry
Acting Manager
Elective Services
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Increased Immunisation
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The national immunisation target is for 90* percent of two-year olds* to be fully immunised by July 2011; 95 percent by July 2012.
*This quarterly progress result includes children who turned two years between July and September 2010 and who were fully immunised at that stage.
Target champion comments
The Waikato DHB immunisation coverage rates plateaued this quarter unlike previous quarter rises.
The Maori and Pacific coverage rates for the quarter at 87 percent and 93
percent respectively were excellent.
Dr Pat Tuohy
Chief Advisor
Child and Youth Health
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Shorter waits for cancer treatment
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 The target is everyone needing radiation treatment will have this within six weeks of their first specialist assessment by the end of July 2010 and within four weeks by January 2011. Six regional oncology centres provide radiation oncology services.
These centres are in Auckland, Hamilton, Palmerston North, Wellington, Christchurch and Dunedin.
Target champion comments
Attention is now clearly focused on the transition to the four week target commencing in December 2010. September 2010 was the first month of informal reporting against the four week target. For the month of September, 98.6 percent of patients from your DHB were treated within four weeks.
This good performance reflects a trend over the last two years of more people receiving their first radiation treatment within four weeks.
Dr John Childs
National Clinical Director
Cancer Programme
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Better help for smokers to quit
The target is that 90 percent of hospitalised smokers will be provided with advice and help to quit by July 2011; and 95 percent by July 2012.
The data covers patients presenting to Emergency Departments, day stay and other hospital based interventions.
Target champion comments
Waikato DHB has made progress in this quarter with results increasing from 62 per cent to 70 per cent. It is now important that the momentum being achieved in this quarter is maintained to reach the 90 per cent target. The prevalence rate of 17.2 percent is 5.4 percent below what is expected which is 22.6 percent.
A focus on screening all hospitalised patients for smoking status should continue for future quarters.
Dr Ashley Bloomfield
National Director
Tobacco Control
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Better diabetes and cardiovascular disease (CVD) services
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 This graph represents the average progress made by a DHB towards three target indicators: (a) an increased percent of the eligible adult population will have had their cardiovascular disease risk assessed in the last five years; (b) an increased percent of people with diabetes will attend free annual checks; (c) an increased percent of people with diabetes will have satisfactory or better diabetes management.
* Reporting of this target will be modified next quarter to reflect changes in reporting process.
Target champion comments
Waikato DHB has recorded a strong improvement in its overall performance against this health target this quarter, achieving 75 per cent.
This is due to a large increase in the DHB’s diabetes free annual checks performance, with Waikato achieving the second highest result of all DHBs in this indicator for the quarter.
Dr Brandon Orr-Walker
National Clinical Director
Diabetes
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Media release
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