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May 2017 Date Issued: 20 July 2017

Elective Surgery Wait List Report WA Public Hospitals

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Page 1: Elective Surgery Wait List Report WA Public Hospitals

May 2017

Date Issued: 20 July 2017

Page 2: Elective Surgery Wait List Report WA Public Hospitals

© Department of Health, Western Australia This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced without prior written permission from the Department of Health, Western Australia. Requests and enquiries concerning reproduction and rights should be directed to – Performance Reporting Branch Purchasing and System Performance Division Department of Health, Western Australia PO Box 8172 Perth Business Centre Western Australia 6849 The Department’s publications on elective surgery are available online at: http://ww2.health.wa.gov.au/Reports-and-publications/Elective-Surgery-Wait-List-ESWL-reports ISSN 1836-1617 (online) ISSN 1836-1609 (print) Suggested Citation: Department of Health, Western Australia (2017): Elective Surgery Wait List Report, Western Australia Public Hospitals, May 2017.

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Contents Abbreviations ....................................................................................................................... iv

Notes .................................................................................................................................... v

Glossary ............................................................................................................................. viii 1. Introduction ................................................................................................................... 1

2. Executive summary ........................................................................................................ 1

3. Cases on wait list and waiting time ................................................................................ 2

Number of cases ....................................................................................................... 2 3.1

Waiting times ............................................................................................................ 3 3.2

WA Elective Services Target ...................................................................................... 4 3.3

3.3.1 Statewide WEST performance ................................................................................... 4 3.3.2 Category 1 cases ...................................................................................................... 5 3.3.3 Category 2 cases ...................................................................................................... 6 3.3.4 Category 3 cases ...................................................................................................... 6

4 Admissions from wait list ............................................................................................... 7

Number of cases ....................................................................................................... 7 4.1

Indicator procedures ................................................................................................. 8 4.2

Appendix A: Quarterly indicator procedure tables ................................................................. 9

Appendix B: Monthly tables ................................................................................................ 18

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Abbreviations

AIHW Australian Institute of Health and Welfare ASI Ambulatory Surgery Initiative

COAG Council of Australian Governments

DNA did not attend

DOH Department of Health

ESWLDC Elective Services Wait List Data Collection

ESWL Elective surgery wait list

HCARe Health Care and Related Information System

JHC Joondalup Health Campus

Metro Metropolitan area

NA not available

PHC Peel Health Campus

RFC ready for care

TOPAS The Open Patient Administration System

WA Western Australia

WACHS Western Australian Country Health Service

webPAS Web-based Patient Administration System

WEST Western Australia Elective Services Target

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Notes Data extraction date All data in this report are as at the end of the last day of each reported month. Data revision The most recent edition of reports should be consulted in case previously published data have been revised. Revisions can be due to updates to procedure codes, lags in data processing or other types of errors detected after publication. Data source Wait list extract data in ESWL reports are from the HCARe (Health Care and Related Information System), TOPAS (The Open Patient Administration System), webPAS (Web-based Patient Administration System) and Joondalup Health Campus, Peel Health Campus and St. John of God Midland Hospital data systems. Data in this report are sourced from the Elective Services Wait List Data Collection (ESWLDC). Data coverage All WA public hospitals with elective surgery wait lists are included. Royal Perth Rehabilitation Hospital closed in early October 2014. Fiona Stanley Hospital data have been included in the report since its opening in October 2014. Kaleeya Hospital closed in early December 2014. Swan District Hospital closed on 24 November 2015. St John of God Midland Public Hospital data have been included in the report since its opening on 24 November 2015. Data definitions Data in ESWL reports are based on Australian Institute of Health and Welfare (AIHW) reporting guidelines. Effects of rounding Where figures have been rounded, discrepancies may occur between sums of the component items and totals. Published percentages are calculated prior to rounding of the figures and therefore some discrepancy may exist between these percentages and those that could be calculated from the rounded figures. Metropolitan public hospitals The term ‘metropolitan public hospital’ refers to the following public hospitals – Armadale Hospital, Bentley Hospital, Fiona Stanley Hospital, Fremantle Hospital, Joondalup Health Campus, Kalamunda Hospital, Kaleeya Hospital, King Edward Memorial Hospital, Osborne Park Hospital, Peel Health Campus, Princess Margaret Hospital, Rockingham General Hospital, Royal Perth Hospital, Royal Perth Rehabilitation Hospital, St John of God Midland Public Hospital, Sir Charles Gairdner Hospital and Swan District Hospital.

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Notes (continued) Western Australia Elective Services Target On 1 April 2016, WA Health introduced a new statewide performance target for the provision of elective services. The WA Elective Services Target (WEST) aims to ensure timely and equitable access to public elective services. It replaces the National Elective Surgery Target (NEST), following the expiry of the National Partnership Agreement on Improving Public Hospital Services in 2015. The WEST indicator refers to the proportion of patients on elective surgery waiting lists who wait longer than the clinically recommended time for their procedure, according to their urgency category. The current statewide target is 0%. Data for On List cases are preliminary as they are snapshots as at the end of each month. Within boundary cases A patient who has been waiting less than the recommended period in one of the three clinical urgency categories is defined as being within boundary. The clinical urgency categories prioritise patients from least urgent (Category 3) to most urgent (Category 1). Over boundary cases A patient who has been waiting more than the recommended period in one of the three clinical urgency categories is defined as being over boundary. Category 1 Procedures that are clinically indicated within 30 days.

Category 2 Procedures that are clinically indicated within 90 days.

Category 3 Procedure that are clinically indicated within 365 days. Admissions to hospital from the elective surgery wait lists Patients admitted to hospital from the waiting lists to have their elective surgery are called cases (rather than patients) because someone may have been admitted for elective surgery on more than one occasion. For example, if a patient was admitted twice during the reporting period, then it will be counted as two cases.

Admission cases including Ambulatory Surgery Initiative (ASI) are included regardless of client listing status.

Admitted coded cases are excluded where the wait listed procedure does not meet the AIHW definition of elective surgery.

Admitted uncoded cases (i.e. the wait list procedure is not coded) are included if the wait list type equals ‘Surgical’ and the wait list category equals ‘Elective’.

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Notes (continued) Number on wait list at end of period Cases on the ESWLs represent the number of patients waiting. They are called cases (rather than patients) because someone may be on a waiting list more than once. For example, if a patient is on a waiting list twice for two different procedures, then it will be counted as two cases.

On List cases including ASI are included where the client listing status is “ready for care” (RFC).

On List RFC coded cases are excluded when the wait list procedures are on the AIHW ‘Excluded procedures’ list.

On List uncoded cases are included if the wait list type equals ‘Surgical’ and the wait list category equals ‘Elective’.

Confidentiality Table cells are marked with (*) to indicate when data has been suppressed to protect patient and clinician confidentiality. This occurs when:

the indicator procedure or specialty in a hospital has only one surgeon and the number of cases in that indicator procedure or specialty is less than 10; or

the total number of cases in a hospital for that indicator procedure or specialty is less than five;

and both

any data cells with fewer than five cases within individual indicator procedures and urgency categories; and

to include all suppressed number of cases in the “Uncoded/other” procedure category to maintain the actual total number.

Note: For Tables A-1 to A-16, the data suppression will not impact the calculation of the median waiting time and percentage of cases within boundary. Therefore, a calculation of the percentage of cases within boundary using the suppressed data may not equal the results for listed procedures.

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Glossary Median This refers to 50% of the elective surgery waiting times found at or below this value. 90th percentile This refers to 90% of the elective surgery waiting times found at or under this value. Specialty Specialty is “The area of clinical expertise held by the doctor who will perform the elective surgery”. (Source: Australian Hospital Statistics, AIHW 2012-13.) Indicator procedure “An indicator procedure is a procedure which is of high volume and is often associated with long waiting periods. Elective surgery waiting time statistics for indicator procedures give a specific indication of waiting time for these particular areas of elective care provision.” (Source: Australian Hospital Statistics, AIHW 2012-13.)

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1. Introduction This report provides information on elective surgery wait lists for Western Australian public hospitals. The report shows current activity and trends pertaining to the elective surgery wait lists, including performance against the WA Elective Services Target (WEST). Unless otherwise indicated, data relates to all procedures meeting the national definition of elective surgery. The WEST indicator refers to the proportion of patients on elective surgery waiting lists who wait longer than the clinically recommended time for their procedure, according to their urgency category. The current statewide target is 0%. Clinically recommended times for procedures are listed below. Category 1 cases are procedures that are clinically indicated within 30 days. Category 2 cases are procedures that are clinically indicated within 90 days. Category 3 cases are procedures that are clinically indicated within 365 days.

2. Executive summary

Current activity: May 2017

At the end of May 2017, there were a total of 20,537 cases on elective surgery wait lists (ESWLs) at all public hospitals. Of these, 1,112 (5.4%) were Category 1 (≤30 days), 4,859 (23.7%) were Category 2 (≤90 days) and 14,566 (70.9%) were Category 3 (≤365 days). Overall WEST performance at the end of May 2017 was 5.0% (1,033 cases) waiting longer than the clinically recommended time, which consisted of:

Category 1: 8.7% (97 cases)

Category 2: 12.4% (604 cases)

Category 3: 2.3% (332 cases). Confidentiality issues due to relatively small numbers prohibit reporting detailed results by clinical specialty. System wide, specialties with the highest volume of elective surgery over boundary cases were Urology (250), Plastic Surgery (204), Ear, Nose and Throat Surgery (154), General Surgery (90) and Bariatric Surgery (61). Current median wait times are well within the clinically recommended times:

Category 1: 9 days (recommended time ≤30 days).

Category 2: 33 days (recommended time ≤90 days).

Category 3: 94 days (recommended time ≤365 days).

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The median waiting time for all patients on all ESWLs and for the metropolitan ESWLs was 65 days, with a median waiting time of 68 days for the WACHS ESWLs. In May 2017, there were 8,252 admissions, of which 6,743 (81.7%) were from the metropolitan ESWLs and 1,509 (18.3%) were from the WACHS ESWLs. For the 12 months June 2016 to May 2017, there were 85,816 admissions from all ESWLs. This represents 953 (1.1%) fewer admissions than June 2015 to May 2016, and 3,455 (4.2%) more admissions than June 2014 to May 2015.

3. Cases on wait list and waiting time

Number of cases 3.1 Table 1 (page 3) displays the number of cases waiting on public hospital ESWLs and waiting time data by urgency category as at 31 May 2017, 30 April 2017 and 31 May 2016. This table shows that at 31 May 2017, of the 20,537 cases on all ESWLs, 1,112 (5.4%) were classified as Category 1 cases, 4,859 (23.7%) were Category 2 cases and 14,566 (70.9%) were Category 3 cases. The total of 20,537 cases on all ESWLs was an increase of 499 (2.5%) from 30 April 2017 (20,038) and an increase of 1,659 (8.8%) over 31 May 2016 (18,878). See Table B-1 (page 19) for monthly data from January 2015 for all ESWLs. The total of 1,112 Category 1 cases was an increase of 40 from April 2017 (1,072) and an increase of 27 compared to May 2016 (1,085). The total of 4,859 Category 2 cases was a decrease of 4 from April 2017 (4,863) and an increase of 115 compared to May 2016 (4,744). The total of 14,566 Category 3 cases was an increase of 463 from April 2017 (14,103) and an increase of 1,517 compared to May 2016 (13,049). Tables B-4 to B-6 (pages 22-24) provide a breakdown of all wait list cases by within and over boundary status for the State, metropolitan and WACHS public hospital ESWLs from January 2015 to May 2017.

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Table 1: Statewide ESWL cases waiting and waiting times by category and overall at 31 May 2016, 30 April 2017 and 31 May 2017

Waiting times 3.2 Table 1 above shows the median and 90

th percentile waiting times for cases on waiting lists

at 31 May 2017, compared to previous month and the same month last year, by urgency category. This table shows that both the total median and 90

th percentile waiting time are lower

compared with last month. Also, for all urgency categories the median wait time is lower than last month and the same period last year. Table 2 below shows at the end of May 2017, 19,504 (95.0%) of all cases on all ESWLs were within boundary. Category 2 had the lowest proportion of cases within boundary (87.6%) and Category 3 had the highest proportion of cases within boundary (97.7%). Table 2: Statewide ESWL cases waiting within boundary and median waiting times at

end of month by urgency category, May 2017

May 2016 April 2017 May 2017

Cases n 1,085 1,072 1,112

median 11 17 9

90th percentile 43 44 30

Cases n 4,744 4,863 4,859

median 34 38 33

90th percentile 119 128 105

Cases n 13,049 14,103 14,566

median 95 102 94

90th percentile 272 282 275

Cases n 18,878 20,038 20,537

median 68 68 65

90th percentile 244 255 249

Total Waiting time

(days)

Category 1 Waiting time

(days)

Category 2 Waiting time

(days)

Category 3 Waiting time

(days)

Category

n % n Median wait time (days)

Category 1 1,015 91.3% 1,112 9

Category 2 4,255 87.6% 4,859 33

Category 3 14,234 97.7% 14,566 94

Total 19,504 95.0% 20,537 65

Within boundary TotalCases on wait list at end of month

Page 12: Elective Surgery Wait List Report WA Public Hospitals

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Figure 1 shows six monthly ESWL cases waiting and median waiting time from the end of December 2006 to the end of December 2016. Figure 1: Public hospital ESWL cases waiting and median waiting time (days) at end

of six monthly periods, December 2006 - December 2016

WA Elective Services Target 3.3 Table B-10 (page 28) and Figures 2 to 5 (pages 5 to 7) show the WA Elective Services Target (WEST) performance, i.e. proportion of cases on the wait list for longer than the clinically recommended time by category. The recommended times are 30, 90 and 365 days for Category 1, 2 and 3 respectively.

3.3.1 Statewide WEST performance Statewide WEST performance at the end of May 2017:

Figure 2 (page 5) shows all cases on ESWLs and the proportion (%) of those that were over boundary over the past two years. Confidentiality issues due to relatively small numbers prohibit reporting detailed results by clinical specialty. System wide, specialties with the highest volume of elective surgery over boundary cases were Urology (250), Plastic Surgery (204), Ear, Nose and Throat Surgery (154), General Surgery (90) and Bariatric Surgery (61).

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Category % nCategory 1 8.7% 97

Category 2 12.4% 604

Category 3 2.3% 332

Total 5.0% 1,033

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Figure 2: Public hospital ESWL WEST performance: proportion of all cases on the wait list longer than the clinically recommended time, May 2015 - May 2017

3.3.2 Category 1 cases Table B-4 (page 22) provides a breakdown of Category 1 cases by within and over boundary status for the State, metropolitan and WACHS ESWLs from January 2015 to May 2017. Figure 3 below shows Category 1 cases on ESWLs and the proportion (%) of those that were over boundary over the past two years.

Figure 3: Public hospital ESWL Category 1 WEST performance: proportion of Category 1 cases on the wait list longer than the clinically recommended time, May 2015 - May 2017

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3.3.3 Category 2 cases Table B-5 (page 23) provides a breakdown of Category 2 cases by within and over boundary status for the State, metropolitan and WACHS ESWLs from January 2015 to May 2017. Figure 4 below shows Category 2 cases waiting and the proportion (%) of those that were over boundary over the past two years. Figure 4: Public hospital ESWL Category 2 WEST performance: proportion of

Category 2 cases on the wait list longer than the clinically recommended time, May 2015 - May 2017

3.3.4 Category 3 cases Table B-6 (page 24) provides a breakdown of Category 3 cases by within and over boundary status for the State, metropolitan and WACHS ESWLs from January 2015 to May 2017.

Figure 5 (page 7) shows Category 3 cases waiting and the proportion (%) of those that were over boundary over the past two years.

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Figure 5: Public hospital ESWL Category 3 WEST performance: proportion of Category 3 cases on the wait list longer than the clinically recommended time, May 2015 - May 2017

4 Admissions from wait list

Number of cases 4.1 Table 3 below provides comparative data on the number of admissions from the statewide, metropolitan and WACHS public hospital ESWLs for the months of, and the 12 months to, May 2017, May 2016 and May 2015. Table 3: Public hospital ESWL admissions for the months of, and the 12 months to,

May 2017, May 2016 and May 2015

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% o

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All Category 3 cases on wait list % over boundary cases on wait list

Monthly admission All admissions in last 12 months

Cases (n) Cases (n)

5,896 66,061

6,444 70,100

6,743 70,070

1,429 16,300

1,568 16,669

1,509 15,746

7,325 82,361

8,012 86,769

8,252 85,816

May 2015

Metropolitan ESWLs

May 2017

May 2015

May 2016

WACHS ESWLs

Statewide

May 2016

May 2015

May 2016

May 2017

May 2017

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Table 3 (page 7) shows that of the 8,252 admissions in May 2017, 6,743 (81.7%) were from the metropolitan ESWLs and 1,509 (18.3%) were from the WACHS ESWLs. For the 12 months June 2016 to May 2017, there were 85,816 admissions from all ESWLs. This represents 953 (1.1%) fewer admissions than June 2015 to May 2016 and 3,455 (4.2%) more admissions than June 2014 to May 2015. Figure 6 below shows admissions from all public hospital ESWLs over the past two years, noting a lower number of admissions in December, January and April due to seasonal variation/public holidays. Figure 6: Public hospital ESWL admissions, May 2015 - May 2017

Tables B-7 to B-9 (pages 25 to 27) show admissions by urgency category from January 2015 for all ESWLs, the metropolitan ESWLs and the WACHS ESWLs, respectively.

Indicator procedures 4.2 Of the 20,535 admissions for the March 2017 quarter, 7,273 (35.4%) were from 15 specified surgical indicator procedures. The remaining 13,262 (64.6%) were classified as 'other' procedures. Refer to the Notes section for further information. Appendix A provides admission volumes for these individual procedures by urgency category and within or over boundary status, as well as median waiting times.

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Admissions - State Admissions - Metro Admissions - WACHS

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Appendix A: Quarterly indicator procedure tables Table A-1: Statewide summary by indicator procedure, March 2017 quarter, admissions

- total and within boundary .................................................................................. 10

Table A-2: Metropolitan area summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ................................................................ 10

Table A-3: WACHS summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ..................................................................................... 11

Table A-4: Armadale Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ................................................................ 11

Table A-5: Bentley Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ................................................................ 12

Table A-6: Fiona Stanley Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary .................................................. 12

Table A-7: Fremantle Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ................................................................ 13

Table A-8: Joondalup Health Campus summary by indicator procedure, March 2017 quarter, admissions - total and within boundary .................................................. 13

Table A-9: King Edward Memorial Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ......................................... 14

Table A-10: Osborne Park Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ................................................ 14

Table A-11: Peel Health Campus summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ................................................ 15

Table A-12: Princess Margaret Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ................................................ 15

Table A-13: Rockingham General Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ....................................... 16

Table A-14: Royal Perth Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ............................................................. 16

Table A-15: Sir Charles Gairdner Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ....................................... 17

Table A-16: St John of God Midland Public Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ............................ 17

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Table A-1: Statewide summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction 46 311 2,152 2,509 56 44 289 2,120 2,453 97.8

Cholecystectomy 68 209 107 384 37 66 202 106 374 97.4

Coronary artery bypass graft 64 9 - 73 11 61 8 - 69 94.5

Cystoscopy 474 639 631 1,744 29 416 501 590 1,507 86.4

Haemorrhoidectomy 17 58 49 124 44 17 53 49 119 96.0

Hysterectomy 64 118 120 302 47 58 116 120 294 97.4

Inguinal herniorrhaphy 42 228 170 440 42 41 222 170 433 98.4

Myringoplasty * 16 43 59 154 * 9 41 50 85.5

Myringotomy 17 76 61 154 61 17 71 60 148 96.1

Prostatectomy 40 83 37 160 34 35 56 36 127 79.4

Septoplasty - 20 69 89 174 - 14 60 74 83.1

Tonsillectomy 7 143 266 416 166 7 125 234 366 88.0

Total hip replacement 6 104 203 313 84 6 85 196 287 91.7

Total knee replacement 5 94 345 444 100 * 78 336 414 94.1

Varicose veins stripping * * 55 55 141 * * 52 52 94.9

Uncoded/other/* 4,345 4,452 4,472 13,269 29 3,920 3,770 4,290 11,980 90.3

Total 5,195 6,560 8,780 20,535 36 4,688 5,599 8,460 18,747 91.3 - no cases; * data suppressed to protect confidentiality

Table A-2: Metropolitan area summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction 38 272 1,713 2,023 49 36 250 1,681 1,967 97.2

Cholecystectomy 51 144 79 274 34 49 137 78 264 96.4

Coronary artery bypass graft 64 9 - 73 11 61 8 - 69 94.5

Cystoscopy 415 555 465 1,435 33 357 417 424 1,198 83.5

Haemorrhoidectomy 11 38 39 88 44 11 33 39 83 94.3

Hysterectomy 38 85 93 216 54 32 83 93 208 96.3

Inguinal herniorrhaphy 32 160 136 328 41 31 154 136 321 97.9

Myringoplasty * 14 25 39 188 * 7 23 30 77.5

Myringotomy 5 50 29 84 70 5 45 28 78 92.9

Prostatectomy 39 70 24 133 30 34 43 23 100 75.2

Septoplasty - 16 62 78 168 - 10 53 63 80.8

Tonsillectomy 7 128 238 373 167 7 110 208 325 87.1

Total hip replacement 6 97 142 245 75 6 78 140 224 91.4

Total knee replacement 5 89 281 375 89 * 73 273 346 93.3

Varicose veins stripping - * 49 49 162 - * 46 46 94.0

Uncoded/other/* 3,816 3,762 3,496 11,074 29 3,387 3,079 3,319 9,785 88.4

Total 4,527 5,489 6,871 16,887 36 4,021 4,528 6,564 15,113 89.5 - no cases; * data suppressed to protect confidentiality

Page 19: Elective Surgery Wait List Report WA Public Hospitals

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Table A-3: WACHS summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction 8 39 439 486 77 8 39 439 486 100.0

Cholecystectomy 17 65 28 110 50 17 65 28 110 100.0

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 59 84 166 309 8 59 84 166 309 100.0

Haemorrhoidectomy 6 20 10 36 46 6 20 10 36 100.0

Hysterectomy 26 33 27 86 38 26 33 27 86 100.0

Inguinal herniorrhaphy 10 68 34 112 48 10 68 34 112 100.0

Myringoplasty * * 18 18 106 * * 18 18 100.0

Myringotomy 12 26 32 70 38 12 26 32 70 100.0

Prostatectomy * 13 13 26 61 * 13 13 26 100.0

Septoplasty - * 7 7 290 - * 7 7 100.0

Tonsillectomy - 15 28 43 89 - 15 26 41 95.3

Total hip replacement - 7 61 68 156 - 7 56 63 92.6

Total knee replacement - 5 64 69 157 - 5 63 68 98.6

Varicose veins stripping * * 6 6 33 * * 6 6 100.0

Uncoded/other/* 530 696 976 2,202 29 529 696 971 2,196 99.7

Total 668 1,071 1,909 3,648 38 667 1,071 1,896 3,634 99.6 - no cases; * data suppressed to protect confidentiality

Table A-4: Armadale Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction - - - - - - - - - -

Cholecystectomy * 34 * 34 20 * 34 * 34 100.0

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 10 18 33 61 29 10 17 33 60 98.4

Haemorrhoidectomy - * * * 37 - * * * 100.0

Hysterectomy - * 10 10 68 - * 10 10 100.0

Inguinal herniorrhaphy * 32 5 37 29 * 32 5 37 100.0

Myringoplasty - - * * 360 - - * * 100.0

Myringotomy - * 8 8 353 - * 8 8 100.0

Prostatectomy - * 6 6 83 - * 6 6 88.9

Septoplasty - - * * 357 - - * * 100.0

Tonsillectomy - - 26 26 359 - - 21 21 80.8

Total hip replacement - 9 19 28 69 - 9 19 28 100.0

Total knee replacement - 6 43 49 130 - * 43 43 95.9

Varicose veins stripping - - 12 12 224 - - 12 12 100.0

Uncoded/other/* 91 195 240 526 45 91 195 235 521 98.4

Total 101 294 402 797 50 101 287 392 780 97.9 - no cases; * data suppressed to protect confidentiality

Page 20: Elective Surgery Wait List Report WA Public Hospitals

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Table A-5: Bentley Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction 18 79 658 755 109 17 77 645 739 97.9

Cholecystectomy * 12 * 12 34 * 10 * 10 88.2

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy - - - - - - - - - -

Haemorrhoidectomy - 8 * 8 40 - 8 * 8 100.0

Hysterectomy - * - * 39 - * - * 100.0

Inguinal herniorrhaphy * 23 10 33 29 * 22 10 32 97.1

Myringoplasty - * - * 65 - * - * 100.0

Myringotomy - * - * 14 - * - * 100.0

Prostatectomy - - - - - - - - - -

Septoplasty - 6 10 16 13 - 5 10 15 93.8

Tonsillectomy - * 5 5 34 - * 5 5 100.0

Total hip replacement - - - - - - - - - -

Total knee replacement - - - - - - - - - -

Varicose veins stripping - - - - - - - - - -

Uncoded/other/* 36 118 174 328 35 28 107 169 304 92.2

Total 54 246 857 1,157 69 45 229 839 1,113 96.2 - no cases, * data suppressed to protect confidentiality

Table A-6: Fiona Stanley Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction - - - - - - - - - -

Cholecystectomy 5 * - 5 20 * * - * 77.8

Coronary artery bypass graft 34 8 - 42 13 32 7 - 39 92.9

Cystoscopy 118 47 29 194 30 94 17 9 120 61.9

Haemorrhoidectomy - - - - - - - - - -

Hysterectomy - - - - - - - - - -

Inguinal herniorrhaphy * * - * 116 - - - - 0.0

Myringoplasty - 5 - 5 99 - * - * 40.0

Myringotomy - 6 - 6 111 - * - * 33.3

Prostatectomy 5 5 * 10 102 * - - * 27.3

Septoplasty - - - - - - - - - -

Tonsillectomy - 10 * 10 279 - * * * 16.7

Total hip replacement - - - - - - - - - -

Total knee replacement - - - - - - - - - -

Varicose veins stripping - - - - - - - - - -

Uncoded/other/* 728 461 127 1,316 23 593 239 103 935 70.3

Total 890 542 156 1,588 25 719 263 112 1,094 68.9 - no cases, * data suppressed to protect confidentiality

Page 21: Elective Surgery Wait List Report WA Public Hospitals

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Table A-7: Fremantle Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction 11 84 61 156 49 11 83 61 155 99.4

Cholecystectomy 11 13 * 24 36 10 11 * 21 88.9

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy - - - - - - - - - -

Haemorrhoidectomy - - - - - - - - - -

Hysterectomy * 5 * 5 74 - 5 * 5 87.5

Inguinal herniorrhaphy - 9 14 23 80 - 9 14 23 100.0

Myringoplasty - * * * 312 - - - - 0.0

Myringotomy - - - - - - - - - -

Prostatectomy - - - - - - - - - -

Septoplasty - * * * 450 - - - - 0.0

Tonsillectomy - * 21 21 398 - - 8 8 33.3

Total hip replacement * 22 18 40 84 * 18 18 36 90.2

Total knee replacement * 27 32 59 78 * 21 32 53 88.7

Varicose veins stripping - - - - - - - - - -

Uncoded/other/* 180 285 277 742 66 140 199 262 601 82.2

Total 202 445 423 1,070 67 161 346 395 902 84.3 - no cases, * data suppressed to protect confidentiality

Table A-8: Joondalup Health Campus summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction - - 140 140 151 - - 140 140 100.0

Cholecystectomy - 14 12 26 26 - 14 12 26 100.0

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 27 37 105 169 14 27 37 105 169 100.0

Haemorrhoidectomy - 12 7 19 45 - 12 7 19 100.0

Hysterectomy * 6 20 26 24 * 6 20 26 100.0

Inguinal herniorrhaphy * 28 27 55 25 * 28 27 55 100.0

Myringoplasty - - * * 233 - - * * 100.0

Myringotomy * * * * 39 * * * * 83.3

Prostatectomy 6 8 8 22 26 6 7 8 21 95.5

Septoplasty - - 13 13 324 - - 13 13 100.0

Tonsillectomy * - 24 24 292 * - 22 22 92.0

Total hip replacement * 9 13 22 63 * 9 12 21 95.7

Total knee replacement - * 26 26 79 - * 25 25 96.7

Varicose veins stripping - - 14 14 14 - - 14 14 100.0

Uncoded/other/* 118 220 692 1,030 28 118 219 653 990 96.2

Total 151 334 1,101 1,586 28 151 332 1,058 1,541 97.2 - no cases, * data suppressed to protect confidentiality

Page 22: Elective Surgery Wait List Report WA Public Hospitals

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Table A-9: King Edward Memorial Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction - - - - - - - - - -

Cholecystectomy - - - - - - - - - -

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 7 5 6 18 4 7 5 6 18 100.0

Haemorrhoidectomy - - - - - - - - - -

Hysterectomy 31 38 30 99 35 30 37 30 97 98.0

Inguinal herniorrhaphy - - - - - - - - - -

Myringoplasty - - - - - - - - - -

Myringotomy - - - - - - - - - -

Prostatectomy - - - - - - - - - -

Septoplasty - - - - - - - - - -

Tonsillectomy - - - - - - - - - -

Total hip replacement - - - - - - - - - -

Total knee replacement - - - - - - - - - -

Varicose veins stripping - - - - - - - - - -

Uncoded/other/* 199 224 148 571 27 199 220 148 567 99.3

Total 237 267 184 688 28 236 262 184 682 99.1 - no cases, * data suppressed to protect confidentiality

Table A-10: Osborne Park Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction - 13 352 365 16 - 13 352 365 100.0

Cholecystectomy - 8 13 21 85 - 8 13 21 100.0

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 41 95 48 184 52 40 67 48 155 84.2

Haemorrhoidectomy * * 13 13 86 * * 13 13 100.0

Hysterectomy - * 9 9 97 - * 9 9 100.0

Inguinal herniorrhaphy * 18 15 33 56 * 18 15 33 100.0

Myringoplasty - - 5 5 159 - - 5 5 100.0

Myringotomy - - * * 141 - - * * 100.0

Prostatectomy * 6 * 6 44 * 6 * 6 100.0

Septoplasty - * 9 9 139 - * 9 9 100.0

Tonsillectomy - * 16 16 83 - * 16 16 94.7

Total hip replacement - 8 22 30 77 - 7 22 29 96.7

Total knee replacement * 9 38 47 84 * 9 38 47 100.0

Varicose veins stripping - - 8 8 326 - - 7 7 87.5

Uncoded/other/* 55 240 256 551 56 46 221 249 516 93.6

Total 96 397 804 1,297 43 86 349 796 1,231 94.9 - no cases, * data suppressed to protect confidentiality

Page 23: Elective Surgery Wait List Report WA Public Hospitals

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Table A-11: Peel Health Campus summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction * 28 176 204 112 * 28 176 204 99.5

Cholecystectomy * 7 8 15 21 * 7 8 15 100.0

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 8 33 112 153 23 8 33 112 153 100.0

Haemorrhoidectomy * - * * 20 * - * * 100.0

Hysterectomy * 7 10 17 44 - 7 10 17 85.0

Inguinal herniorrhaphy * * 9 9 14 * * 9 9 100.0

Myringoplasty - - * * 234 - - * * 100.0

Myringotomy - - - - - - - - - -

Prostatectomy 8 13 * 21 18 8 12 * 20 95.7

Septoplasty - * 8 8 93 - - 7 7 77.8

Tonsillectomy - * 7 7 157 - * 7 7 100.0

Total hip replacement - 6 11 17 35 - 5 11 16 94.1

Total knee replacement - 13 28 41 66 - 13 28 41 100.0

Varicose veins stripping - - * * 150 - - * * 100.0

Uncoded/other/* 256 154 264 674 14 230 149 263 642 95.8

Total 272 261 633 1,166 24 246 254 631 1,131 97.0 - no cases, * data suppressed to protect confidentiality

Table A-12: Princess Margaret Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction - * * * 56 - * * * 100.0

Cholecystectomy - - - - - - - - - -

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy * 22 15 37 80 * 22 15 37 100.0

Haemorrhoidectomy * * * * 36 * * * * 100.0

Hysterectomy - - - - - - - - - -

Inguinal herniorrhaphy 15 6 * 21 23 15 6 * 21 100.0

Myringoplasty - * 7 7 277 - * 7 7 100.0

Myringotomy * 33 7 40 62 * 33 7 40 100.0

Prostatectomy - - - - - - - - - -

Septoplasty - * - * 87 - * - * 100.0

Tonsillectomy * 98 90 188 85 * 98 90 188 100.0

Total hip replacement - - - - - - - - - -

Total knee replacement - - - - - - - - - -

Varicose veins stripping - - - - - - - - - -

Uncoded/other/* 295 501 383 1,179 36 295 500 383 1,178 99.9

Total 310 660 502 1,472 50 310 659 502 1,471 99.9 - no cases, * data suppressed to protect confidentiality

Page 24: Elective Surgery Wait List Report WA Public Hospitals

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Table A-13: Rockingham General Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction - - - - - - - - - -

Cholecystectomy 13 15 13 41 44 13 15 13 41 100.0

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 60 39 34 133 87 60 8 18 86 64.7

Haemorrhoidectomy * * 5 5 35 * * 5 5 100.0

Hysterectomy * 12 6 18 42 * 11 6 17 94.7

Inguinal herniorrhaphy * 15 21 36 81 * 14 21 35 97.5

Myringoplasty - - * * 397 - - - - 0.0

Myringotomy - * - * 90 - * - * 50.0

Prostatectomy 7 10 * 17 98 7 - * 7 44.4

Septoplasty - - - - - - - - - -

Tonsillectomy - 5 8 13 405 - - - - 0.0

Total hip replacement * * 9 9 130 * * 9 9 100.0

Total knee replacement - * 22 22 189 - * 22 22 100.0

Varicose veins stripping - - * * 141 - - * * 100.0

Uncoded/other/* 144 161 204 509 65 144 126 184 454 89.1

Total 224 257 322 803 71 224 174 278 676 84.2 - no cases, * data suppressed to protect confidentiality

Table A-14: Royal Perth Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction * 26 27 53 165 * 9 8 17 34.5

Cholecystectomy 6 12 6 24 42 6 11 6 23 95.8

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 78 108 63 249 56 50 68 58 176 70.7

Haemorrhoidectomy - 5 * 5 176 - * * * 33.3

Hysterectomy - - - - - - - - - -

Inguinal herniorrhaphy * 6 * 6 52 * * * * 66.7

Myringoplasty - * * * 194 - - * * 66.7

Myringotomy * * - * 22 * * - * 100.0

Prostatectomy * 12 * 12 209 * * * * 41.2

Septoplasty - * 6 6 452 - - - - 0.0

Tonsillectomy * * 7 7 101 * * 6 6 90.0

Total hip replacement * 15 12 27 117 * 7 11 18 69.0

Total knee replacement * 12 31 43 181 * 8 24 32 75.0

Varicose veins stripping - - * * 154 - - * * 100.0

Uncoded/other/* 902 598 194 1,694 24 733 402 146 1,281 75.0

Total 986 794 346 2,126 34 789 505 259 1,553 73.0 - no cases, * data suppressed to protect confidentiality

Page 25: Elective Surgery Wait List Report WA Public Hospitals

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Table A-15: Sir Charles Gairdner Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction * 15 93 108 63 * 13 93 106 98.2

Cholecystectomy 6 11 5 22 22 6 10 * 16 90.9

Coronary artery bypass graft 30 * - 30 10 29 * - 29 96.8

Cystoscopy 53 48 15 116 36 48 42 15 105 90.5

Haemorrhoidectomy - * - * 130 - - - - 0.0

Hysterectomy - - - - - - - - - -

Inguinal herniorrhaphy - 6 * 6 57 - 6 * 6 100.0

Myringoplasty * * * * 78 * * * * 80.0

Myringotomy - - - - - - - - - -

Prostatectomy 6 5 * 11 32 5 * * 5 83.3

Septoplasty - - 5 5 127 - - 5 5 100.0

Tonsillectomy * * 7 7 106 * * 7 7 100.0

Total hip replacement * 26 16 42 74 * 21 16 37 88.4

Total knee replacement - 12 31 43 145 - 8 31 39 90.7

Varicose veins stripping - - 6 6 337 - - 5 5 83.3

Uncoded/other/* 815 546 410 1,771 20 777 458 394 1,629 91.6

Total 910 669 588 2,167 24 865 558 566 1,989 91.8 - no cases, * data suppressed to protect confidentiality

Table A-16: St John of God Midland Public Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary

Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median

wait time

Cat 1 Cat 2 Cat 3 Total % of

Total (days)

Cataract extraction * 24 205 229 13 * 24 205 229 100.0

Cholecystectomy * 14 15 29 56 * 14 15 29 100.0

Coronary artery bypass graft - - - - - - - - - -

Cystoscopy 9 103 5 117 15 9 101 5 115 98.3

Haemorrhoidectomy * - * * 27 * - * * 100.0

Hysterectomy * 9 6 15 86 - 9 6 15 93.8

Inguinal herniorrhaphy * 15 27 42 52 * 15 27 42 100.0

Myringoplasty - - * * 187 - - * * 100.0

Myringotomy - * 10 10 138 - * 10 10 100.0

Prostatectomy * 8 - 8 8 * 8 - 8 100.0

Septoplasty - * 6 6 181 - * 6 6 100.0

Tonsillectomy - * 25 25 184 - * 25 25 100.0

Total hip replacement - * 22 22 47 - * 22 22 100.0

Total knee replacement - * 30 30 47 - * 30 30 100.0

Varicose veins stripping - * 5 5 57 - * * * 83.3

Uncoded/other/* 85 150 197 432 30 79 139 201 419 96.1

Total 94 323 553 970 24 88 310 552 950 97.9 - no cases, * data suppressed to protect confidentiality.

Page 26: Elective Surgery Wait List Report WA Public Hospitals

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Appendix B: Monthly tables

Table B-1: Public hospital ESWL cases waiting and waiting times, January 2015 - May 2017 ..................................................................................................................... 19

Table B-2: Metropolitan ESWL cases waiting and waiting times, January 2015 - May 2017 ..................................................................................................................... 20

Table B-3: WACHS ESWL cases waiting and waiting times, January 2015 - May 2017 ...... 21

Table B-4: Public hospital ESWL Category 1 cases within and over boundary, January 2015 - May 2017 .................................................................................................. 22

Table B-5: Public hospital ESWL Category 2 cases within and over boundary, January 2015 - May 2017 .................................................................................................. 23

Table B-6: Public hospital ESWL Category 3 cases within and over boundary, January 2015 - May 2017 .................................................................................................. 24

Table B-7: Public hospital ESWL admissions by urgency category, January 2015 - May 2017 ..................................................................................................................... 25

Table B-8: Metropolitan ESWL admissions by urgency category, January 2015 - May 2017 ..................................................................................................................... 26

Table B-9: WACHS ESWL admissions by urgency category, January 2015 - May 2017 ..... 27

Table B-10: WEST performance: proportion (%) of cases on the wait list longer than the clinically recommended time at the end of the month, by Category, May 2017 .................................................................................................................. 28

Page 27: Elective Surgery Wait List Report WA Public Hospitals

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Table B-1: Public hospital ESWL cases waiting and waiting times, January 2015 - May 2017

Cases on ESWLs at end of month

Within boundary Over boundary Total

Waiting

time Cases Waiting

time Cases Waiting time Cases

Median Median Median 90th percentile

Days n % Days n % Days Days n

2015

Jan 71

16,552 93.2 136

1,213 6.8 75 247

17,765

Feb 71

16,898 92.7 141

1,328 7.3 75 240

18,226

Mar 56

16,663 92.6 144

1,335 7.4 63 244

17,998

Apr 62

16,821 91.9 163

1,485 8.1 69 248

18,306

May 62

16,668 92.4 173

1,363 7.6 69 249

18,031

Jun 56

16,995 93.0 180

1,287 7.0 62 251

18,282

Jul 58

16,559 93.6 161

1,133 6.4 65 251

17,692

Aug 59

16,578 94.4 157

991 5.6 63 237

17,569

Sep 53

16,375 94.8 153

895 5.2 57 231

17,270

Oct 56

16,249 95.7 149

724 4.3 59 229

16,973

Nov 54

16,327 95.1 152

842 4.9 59 228

17,169

Dec 59

16,816 94.4 142

1,000 5.6 63 232

17,816

2016

Jan 68

17,168 93.3 139

1,227 6.7 73 237

18,395

Feb 70

17,113 93.4 143

1,204 6.6 76 242

18,317

Mar 56

17,314 93.7 153

1,166 6.3 62 234

18,480

Apr 60

17,499 94.3 158

1,063 5.7 65 241

18,562

May 61

17,781 94.2 152

1,097 5.8 68 244

18,878

Jun 59

18,639 93.8 150

1,235 6.2 64 247

19,874

Jul 65

18,416 93.3 160

1,312 6.7 69 255

19,728

Aug 66

17,943 92.8 175

1,387 7.2 72 264

19,330

Sep 64

18,033 92.3 178

1,494 7.7 71 252

19,527

Oct 65

18,271 92.3 182

1,527 7.7 73 252

19,798

Nov 59

18,177 93.3 194

1,315 6.7 68 253

19,492

Dec 67

18,110 93.3 178

1,301 6.7 73 260

19,411

2017

Jan 76 18,479 92.7 175 1,460 7.3 82 265 19,939

Feb 76 18,468 93.4 168 1,306 6.6 82 263 19,774

Mar 59 18,690 93.8 157 1,242 6.2 67 252 19,932

Apr 65 18,762 93.6 157 1,276 6.4 68 255 20,038

May 62 19,504 95.0 181 1,033 5.0 65 249 20,537

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Page 28: Elective Surgery Wait List Report WA Public Hospitals

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Table B-2: Metropolitan ESWL cases waiting and waiting times, January 2015 - May 2017

Cases on ESWLs at end of month

Within boundary Over boundary Total

Waiting time Cases

Waiting time Cases Waiting time Cases

Median Median Median 90th percentile

Days n % Days n % Days Days n

2015

Jan 68

13,033 91.5 136

1,204 8.5 75 243

14,237

Feb 71

13,368 91.1 139

1,312 8.9 75 237

14,680

Mar 57

12,936 90.8 140

1,310 9.2 68 243

14,246

Apr 62

13,200 90.0 162

1,461 10.0 70 246

14,661

May 62

13,063 90.8 171

1,326 9.2 72 248

14,389

Jun 56

13,279 91.5 173

1,240 8.5 63 251

14,519

Jul 58

12,949 92.2 158

1,102 7.8 66 253

14,051

Aug 59

13,005 93.0 154

975 7.0 63 245

13,980

Sep 51

12,972 93.7 148

875 6.3 57 233

13,847

Oct 57

12,796 94.8 148

709 5.2 60 232

13,505

Nov 53

12,939 94.0 151

823 6.0 60 229

13,762

Dec 58

13,312 93.1 141

989 6.9 64 233

14,301

2016

Jan 67

13,606 91.8 139

1,214 8.2 73 240

14,820

Feb 70

13,461 91.9 140

1,187 8.1 77 243

14,648

Mar 56

13,865 92.4 149

1,143 7.6 63 234

15,008

Apr 60

13,974 93.0 157

1,046 7.0 65 241

15,020

May 62

14,212 93.0 147

1,076 7.0 70 247

15,288

Jun 60

14,853 92.5 149

1,212 7.5 69 248

16,065

Jul 66

14,604 91.9 159

1,295 8.1 73 261

15,899

Aug 68

14,259 91.4 173

1,334 8.6 76 267

15,593

Sep 65

14,307 90.7 177

1,463 9.3 74 259

15,770

Oct 66

14,416 90.6 181

1,503 9.4 74 258

15,919

Nov 60

14,402 91.7 190

1,302 8.3 69 260

15,704

Dec 66

14,401 91.8 178

1,294 8.2 73 268

15,695

2017

Jan 75 14,435 90.9 173 1,447 9.1 82 271 15,882

Feb 75 14,435 91.8 167 1,291 8.2 82 270 15,726

Mar 58 14,687 92.3 156 1,229 7.7 68 254 15,916

Apr 62 14,775 92.2 156 1,249 7.8 67 255 16,024

May 61 15,426 93.9 175 1,008 6.1 65 250 16,434

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Page 29: Elective Surgery Wait List Report WA Public Hospitals

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Table B-3: WACHS ESWL cases waiting and waiting times, January 2015 - May 2017

Cases on ESWLs at end of month

Within boundary Over boundary Total

Waiting time Cases

Waiting time Cases Waiting time Cases

Median Median Median 90th percentile

Days n % Days n % Days Days n

2015

Jan 74

3,519 99.7 366

9 0.3 74 255

3,528

Feb 71

3,530 99.5 373

16 0.5 71 245

3,546

Mar 54

3,727 99.3 397

25 0.7 54 250

3,752

Apr 64

3,621 99.3 413

24 0.7 64 258

3,645

May 65

3,605 99.0 377

37 1.0 66 251

3,642

Jun 56

3,716 98.8 385

47 1.2 56 249

3,763

Jul 57

3,610 99.1 385

31 0.9 57 241

3,641

Aug 61

3,573 99.6 432

16 0.4 61 221

3,589

Sep 55

3,403 99.4 385

20 0.6 56 220

3,423

Oct 53

3,453 99.6 400

15 0.4 54 220

3,468

Nov 54

3,388 99.4 371

19 0.6 54 215

3,407

Dec 63

3,504 99.7 388

11 0.3 63 226

3,515

2016

Jan 74

3,562 99.6 382

13 0.4 74 235

3,575

Feb 73

3,652 99.5 371

17 0.5 73 229

3,669

Mar 55

3,449 99.3 383

23 0.7 56 232

3,472

Apr 61

3,525 99.5 396

17 0.5 64 242

3,542

May 55

3,569 99.4 382

21 0.6 55 237

3,590

Jun 55

3,786 99.4 393

23 0.6 55 233

3,809

Jul 60

3,812 99.6 376

17 0.4 60 234

3,829

Aug 63

3,684 98.6 366

53 1.4 64 226

3,737

Sep 60

3,726 99.2 394

31 0.8 60 220

3,757

Oct 61

3,855 99.4 372

24 0.6 62 225

3,879

Nov 58

3,775 99.7 391

13 0.3 58 215

3,788

Dec 73

3,709 99.8 386

7 0.2 73 229

3,716

2017

Jan 78 4,044 99.7 370 13 0.3 81 237 4,057

Feb 82 4,033 99.6 371 15 0.4 82 243 4,048

Mar 66 4,003 99.7 394 13 0.3 66 242 4,016

Apr 71 3,987 99.3 386 27 0.7 72 256 4,014

May 65 4,078 99.4 383 25 0.6 68 240 4,103

Jun

Jul

Aug

Sep

Oct

Nov

Dec

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22

Table B-4: Public hospital ESWL Category 1 cases within and over boundary, January 2015 - May 2017

Metropolitan WACHS State

Within 30

days > 30 days Total Within 30

days > 30 days Total Within 30

days > 30 days Total

n % n n % n n % n %

2015

Jan 618 93.6 42 660 84 98.8 1 85 702 94.2 43 5.8 745

Feb 693 95.6 32 725 75 100.0 - 75 768 96.0 32 4.0 800

Mar 728 87.5 104 832 81 100.0 - 81 809 88.6 104 11.4 913

Apr 735 87.6 104 839 91 100.0 - 91 826 88.8 104 11.2 930

May 748 91.3 71 819 62 96.9 2 64 810 91.7 73 8.3 883

Jun 839 92.8 65 904 87 97.8 2 89 926 93.3 67 6.7 993

Jul 681 90.6 71 752 106 99.1 1 107 787 91.6 72 8.4 859

Aug 778 92.0 68 846 83 98.8 1 84 861 92.6 69 7.4 930

Sep 782 92.4 64 846 90 100.0 - 90 872 93.2 64 6.8 936

Oct 787 91.0 78 865 96 100.0 - 96 883 91.9 78 8.1 961

Nov 844 91.0 83 927 88 97.8 2 90 932 91.6 85 8.4 1,017

Dec 590 81.7 132 722 63 98.4 1 64 653 83.1 133 16.9 786

2016

Jan 668 84.9 119 787 76 98.7 1 77 744 86.1 120 13.9 864

Feb 763 87.2 112 875 82 100.0 - 82 845 88.3 112 11.7 957

Mar 706 82.0 155 861 76 98.7 1 77 782 83.4 156 16.6 938

Apr 801 83.3 161 962 64 98.5 1 65 865 84.2 162 15.8 1,027

May 828 83.3 166 994 91 100.0 - 91 919 84.7 166 15.3 1,085

Jun 838 80.4 204 1042 134 100.0 - 134 972 82.7 204 17.3 1,176

Jul 818 77.6 236 1054 112 100.0 - 112 930 79.8 236 20.2 1,166

Aug 814 80.9 192 1006 95 99.0 1 96 909 82.5 193 17.5 1,102

Sep 725 78.1 203 928 86 98.9 1 87 811 79.9 204 20.1 1,015

Oct 768 81.5 174 942 117 96.7 4 121 885 83.3 178 16.7 1,063

Nov 803 85.8 133 936 140 99.3 1 141 943 87.6 134 12.4 1,077

Dec 496 80.3 122 618 41 100.0 - 41 537 81.5 122 18.5 659

2017

Jan 659 84.2 124 783 114 100.0 - 114 773 86.2 124 13.8 897

Feb 865 90.7 89 954 114 100.0 - 114 979 91.7 89 8.3 1,068

Mar 847 87.2 124 971 97 100.0 - 97 944 88.4 124 11.6 1,068

Apr 733 77.7 210 943 128 99.2 1 129 861 80.3 211 19.7 1,072

May 905 90.3 97 1002 110 100.0 - 110 1,015 91.3 97 8.7 1,112

Jun

Jul

Aug

Sep

Oct

Nov

Dec

- no cases

Page 31: Elective Surgery Wait List Report WA Public Hospitals

23

Table B-5: Public hospital ESWL Category 2 cases within and over boundary, January 2015 - May 2017

Metropolitan WACHS State

Within 90

days > 90 days Total

Within 90 days

> 90 days Total

Within 90 days > 90 days Total

n % n n % n n % n %

2015

Jan 3,484 78.4 959 4,443 549 99.5 3 552 4,033 80.7 962 19.3 4,995

Feb 3,577 77.1 1,061 4,638 580 100.0 - 580 4,157 79.7 1,061 20.3 5,218

Mar 3,224 77.2 953 4,177 663 99.8 1 664 3,887 80.3 954 19.7 4,841

Apr 3,330 75.6 1,074 4,404 622 100.0 - 622 3,952 78.6 1,074 21.4 5,026

May 3,408 77.4 994 4,402 632 99.5 3 635 4,040 80.2 997 19.8 5,037

Jun 3,604 79.8 914 4,518 695 99.6 3 698 4,299 82.4 917 17.6 5,216

Jul 3,479 81.2 806 4,285 736 99.5 4 740 4,215 83.9 810 16.1 5,025

Aug 3,621 83.4 723 4,344 687 100.0 - 687 4,308 85.6 723 14.4 5,031

Sep 3,627 85.0 641 4,268 686 100.0 - 686 4,313 87.1 641 12.9 4,954

Oct 3,627 88.6 467 4,094 680 100.0 - 680 4,307 90.2 467 9.8 4,774

Nov 3,374 86.1 546 3,920 655 99.4 4 659 4,029 88.0 550 12.0 4,579

Dec 3,663 85.2 637 4,300 619 99.7 2 621 4,282 87.0 639 13.0 4,921

2016

Jan 3,560 80.6 856 4,416 568 99.5 3 571 4,128 82.8 859 17.2 4,987

Feb 3,379 80.3 831 4,210 633 99.5 3 636 4,012 82.8 834 17.2 4,846

Mar 3,496 82.1 761 4,257 619 100.0 - 619 4,115 84.4 761 15.6 4,876

Apr 3,481 83.5 688 4,169 624 100.0 - 624 4,105 85.6 688 14.4 4,793

May 3,352 82.4 715 4,067 673 99.4 4 677 4,025 84.8 719 15.2 4,744

Jun 3,424 81.7 766 4,190 748 99.9 1 749 4,172 84.5 767 15.5 4,939

Jul 3,391 81.0 796 4,187 764 99.9 1 765 4,155 83.9 797 16.1 4,952

Aug 3,315 79.7 846 4,161 664 98.4 11 675 3,979 82.3 857 17.7 4,836

Sep 3,395 78.9 909 4,304 675 98.3 12 687 4,070 81.5 921 18.5 4,991

Oct 3,377 78.3 937 4,314 650 99.4 4 654 4,027 81.1 941 18.9 4,968

Nov 3,296 80.6 794 4,090 581 100.0 - 581 3,877 83.0 794 17.0 4,671

Dec 3,374 80.7 809 4,183 516 100.0 - 516 3,890 82.8 809 17.2 4,699

2017

Jan 3,210 77.6 928 4,138 566 99.5 3 569 3,776 80.2 931 19.8 4,707

Feb 3,157 78.7 854 4,011 579 99.7 2 581 3,736 81.4 856 18.6 4,592

Mar 3,358 80.8 800 4,158 639 99.8 1 640 3,997 83.3 801 16.7 4,798

Apr 3,557 83.5 705 4,262 599 99.7 2 601 4,156 85.5 707 14.5 4,863

May 3,624 85.7 603 4,227 631 99.8 1 632 4,255 87.6 604 12.4 4,859

Jun

Jul

Aug

Sep

Oct

Nov

Dec

- no cases

Page 32: Elective Surgery Wait List Report WA Public Hospitals

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Table B-6: Public hospital ESWL Category 3 cases within and over boundary, January 2015 - May 2017

Metropolitan WACHS State

Within 365

days > 365 days Total

Within 365 days

> 365 days Total

Within 365 days > 365 days Total

n % n n % n n % n %

2015

Jan 8,931 97.8 203 9,134 2,886 99.8 5 2,891 11,817 98.3 208 1.7 12,025

Feb 9,098 97.6 219 9,317 2,875 99.4 16 2,891 11,973 98.1 235 1.9 12,208

Mar 8,984 97.3 253 9,237 2,983 99.2 24 3,007 11,967 97.7 277 2.3 12,244

Apr 9,135 97.0 283 9,418 2,908 99.2 24 2,932 12,043 97.5 307 2.5 12,350

May 8,907 97.2 261 9,168 2,911 98.9 32 2,943 11,818 97.6 293 2.4 12,111

Jun 8,836 97.1 261 9,097 2,934 98.6 42 2,976 11,770 97.5 303 2.5 12,073

Jul 8,789 97.5 225 9,014 2,768 99.1 26 2,794 11,557 97.9 251 2.1 11,808

Aug 8,606 97.9 184 8,790 2,803 99.5 15 2,818 11,409 98.3 199 1.7 11,608

Sep 8,563 98.1 170 8,733 2,627 99.2 20 2,647 11,190 98.3 190 1.7 11,380

Oct 8,382 98.1 164 8,546 2,677 99.4 15 2,692 11,059 98.4 179 1.6 11,238

Nov 8,721 97.8 194 8,915 2,645 99.5 13 2,658 11,366 98.2 207 1.8 11,573

Dec 9,059 97.6 220 9,279 2,822 99.7 8 2,830 11,881 98.1 228 1.9 12,109

2016

Jan 9,378 97.5 239 9,617 2,918 99.7 9 2,927 12,296 98.0 248 2.0 12,544

Feb 9,319 97.4 244 9,563 2,937 99.5 14 2,951 12,256 97.9 258 2.1 12,514

Mar 9,663 97.7 227 9,890 2,754 99.2 22 2,776 12,417 98.0 249 2.0 12,666

Apr 9,692 98.0 197 9,889 2,837 99.4 16 2,853 12,529 98.3 213 1.7 12,742

May 10,032 98.1 195 10,227 2,805 99.4 17 2,822 12,837 98.4 212 1.6 13,049

Jun 10,591 97.8 242 10,833 2,904 99.2 22 2,926 13,495 98.1 264 1.9 13,759

Jul 10,395 97.5 263 10,658 2,936 99.5 16 2,952 13,331 98.0 279 2.0 13,610

Aug 10,130 97.2 296 10,426 2,925 98.6 41 2,966 13,055 97.5 337 2.5 13,392

Sep 10,187 96.7 351 10,538 2,965 99.4 18 2,983 13,152 97.3 369 2.7 13,521

Oct 10,271 96.3 392 10,663 3,088 99.5 16 3,104 13,359 97.0 408 3.0 13,767

Nov 10,303 96.5 375 10,678 3,054 99.6 12 3,066 13,357 97.2 387 2.8 13,744

Dec 10,531 96.7 363 10,894 3,152 99.8 7 3,159 13,683 97.4 370 2.6 14,053

2017

Jan 10,566 96.4 395 10,961 3,364 99.7 10 3,374 13,930 97.2 405 2.8 14,335

Feb 10,413 96.8 348 10,761 3,340 99.6 13 3,353 13,753 97.4 361 2.6 14,114

Mar 10,482 97.2 305 10,787 3,267 99.6 12 3,279 13,749 97.7 317 2.3 14,066

Apr 10,485 96.9 334 10,819 3,260 99.3 24 3,284 13,745 97.5 358 2.5 14,103

May 10,897 97.3 308 11,205 3,337 99.3 24 3,361 14,234 97.7 332 2.3 14,566

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Page 33: Elective Surgery Wait List Report WA Public Hospitals

25

Table B-7: Public hospital ESWL admissions by urgency category, January 2015 - May 2017

Urgency category Total 1 2 3

2015

Jan 1,210 1,592 1,941 4,743

Feb 1,605 2,230 2,745 6,580

Mar 1,749 2,535 3,040 7,324

Apr 1,512 2,097 2,391 6,000

May 1,817 2,458 3,050 7,325

Jun 1,784 2,494 3,163 7,441

Jul 1,932 2,686 3,251 7,869

Aug 1,714 2,621 3,293 7,628

Sep 1,838 2,665 3,046 7,549

Oct 1,748 2,740 3,228 7,716

Nov 1,848 2,665 3,107 7,620

Dec 1,665 2,054 2,315 6,034

2016

Jan 1,281 2,087 2,110 5,478

Feb 1,723 2,711 3,184 7,618

Mar 1,750 2,496 2,939 7,185

Apr 1,668 2,302 2,649 6,619

May 1,950 2,626 3,436 8,012

Jun 1,928 2,382 2,832 7,142

Jul 1,780 2,204 2,968 6,952

Aug 2,010 2,418 3,396 7,824

Sep 1,776 2,144 2,994 6,914

Oct 1,767 2,181 3,196 7,144

Nov 1,957 2,550 3,483 7,990

Dec 1,831 1,907 2,722 6,460

2017

Jan 1,353 1,816 2,152 5,321

Feb 1,780 2,342 3,180 7,302

Mar 2,062 2,402 3,448 7,912

Apr 1,690 2,031 2,882 6,603

May 2,162 2,632 3,458 8,252

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Page 34: Elective Surgery Wait List Report WA Public Hospitals

26

Table B-8: Metropolitan ESWL admissions by urgency category, January 2015 - May 2017

Urgency category Total 1 2 3

2015

Jan 1,080 1,247 1,494 3,821

Feb 1,393 1,853 1,923 5,169

Mar 1,541 2,156 2,302 5,999

Apr 1,323 1,689 1,721 4,733

May 1,557 2,038 2,301 5,896

Jun 1,565 2,095 2,304 5,964

Jul 1,710 2,236 2,417 6,363

Aug 1,481 2,190 2,505 6,176

Sep 1,630 2,209 2,248 6,087

Oct 1,534 2,267 2,414 6,215

Nov 1,622 2,244 2,329 6,195

Dec 1,480 1,684 1,770 4,934

2016

Jan 1,129 1,770 1,657 4,556

Feb 1,500 2,321 2,315 6,136

Mar 1,558 2,075 2,094 5,727

Apr 1,458 1,851 1,994 5,303

May 1,712 2,159 2,573 6,444

Jun 1,667 1,910 2,152 5,729

Jul 1,547 1,791 2,344 5,682

Aug 1,707 2,002 2,597 6,306

Sep 1,522 1,799 2,263 5,584

Oct 1,516 1,804 2,475 5,795

Nov 1,664 2,142 2,658 6,464

Dec 1,577 1,651 2,169 5,397

2017

Jan 1,215 1,532 1,796 4,543

Feb 1,519 1,961 2,485 5,965

Mar 1,793 1,996 2,590 6,379

Apr 1,486 1,730 2,267 5,483

May 1,884 2,258 2,601 6,743

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Page 35: Elective Surgery Wait List Report WA Public Hospitals

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Table B-9: WACHS ESWL admissions by urgency category, January 2015 - May 2017

Urgency category Total 1 2 3

2015

Jan 130 345 447 922

Feb 212 377 822 1,411

Mar 208 379 738 1,325

Apr 189 408 670 1,267

May 260 420 749 1,429

Jun 219 399 859 1,477

Jul 222 450 834 1,506

Aug 233 431 788 1,452

Sep 208 456 798 1,462

Oct 214 473 814 1,501

Nov 226 421 778 1,425

Dec 185 370 545 1,100

2016

Jan 152 317 453 922

Feb 223 390 869 1,482

Mar 192 421 845 1,458

Apr 210 451 655 1,316

May 238 467 863 1,568

Jun 261 472 680 1,413

Jul 233 413 624 1,270

Aug 303 416 799 1,518

Sep 254 345 731 1,330

Oct 251 377 721 1,349

Nov 293 408 825 1,526

Dec 254 256 553 1,063

2017

Jan 138 284 356 778

Feb 261 381 695 1,337

Mar 269 406 858 1,533

Apr 204 301 615 1,120

May 278 374 857 1,509

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Page 36: Elective Surgery Wait List Report WA Public Hospitals

28

Table B-10: WEST performance: proportion (%) of cases on the wait list longer than the clinically recommended time at the end of the month, by Category, May 2017

Category 1 Category 2 Category 3 Overall 2017

Jan 13.8% 19.8% 2.8% 7.3%

Feb 8.3% 18.6% 2.6% 6.6%

Mar 11.6% 16.7% 2.3% 6.2%

Apr 19.7% 14.5% 2.5% 6.4%

May 8.7% 12.4% 2.3% 5.0%

Jun

Jul

Aug

Sep

Oct

Nov

Dec

2017 Target 0.0% 0.0% 0.0% 0.0%

Page 37: Elective Surgery Wait List Report WA Public Hospitals

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