Balanced Score Card Review of January 2016 Data Balanced Scorecard - PowerPoint PPT Presentation

Balanced Score Card Review of January 2016 Data

Balanced Scorecard Patient Finance Access Patient and Service User Quality Human & Resource Management Safety

Finance

Finance Report -January 2016 Final outturn FY 2015  Group budget € 286.1m (2014 € 284.9m)  Group actual expenditure (net) € 285.7m (2014 € 284.1m)  Group actual surplus € 0.4m ( 2014 surplus: € 0.7m)  CUH Budget € 268.8m (2014: € 265.1m)  CUH /SMOH actual expenditure € 268.9m (2014 € 265.3m)  CUH /SMOH actual deficit ( € 0.1m) (2014 € 0.2m)  Mallow Budget € 17.3m (2014: € 17.5m)  Mallow actual expenditure € 16.8m (2014 € 16.8m)  Mallow actual surplus € 0.5m (2014 surplus: € 0.8m )

Finance Report – January 2016 Budget allocation 2016- CUH  Gross pay & non pay budget (2015) € 332.8m  Gross pay & non pay expenditure (2015) € 344.2m  Gross pay & non pay budget (2016) € 341.2m  Projected expenditure (2016) – Pay € 237.7m  - Nonpay € 108.6m  Projected challenge (2016) € 5.1m  Income budget (2015) € 63.9m  Income actual (2015) € 75.2m  Income budget (2016) € 80.5m  Projected Income (2016) € 76.3m  Projected challenge (2016) € 4.2m

CUH Group – Surplus / (Deficit) percentage %

CUH Group Summary – Budget v Actual Expenditure January 2016 Pay €k Non-Pay €k Total Gross Income €k Net €k CUH -246 -84 -330 -417 -746 SMOH 0 -1 -1 19 18 CUH-SMOH -246 -84 -330 -398 -728 Mallow 25 -73 -47 34 -14 Total -221 -157 -378 -364 -742

CUH Budget v Actual Pay January 2016 2015 Budget €k 2015 Actual €k Variance €k % Variance 2015 Actual €k v 2014 Variance €k Medical/Dental 5,521 5,819 -298 -5% 5,451 -368 Nursing/Midwifery 7,588 7,389 199 3% 7,590 201 Paramedical 2,740 2,887 -147 5% 2,707 -180 Housekeeping 608 604 4 1% 546 -58 Care Assistants 608 605 3 0% 546 -59 Catering 362 360 2 1% 335 -25 Portering 499 515 -16 -3% 497 -18 Administration 1,581 1,543 38 2% 1,515 -28 Other Staff 270 301 -31% -11% 311 10 Total 19,777 20,023 -246 -1% 19,497 -526

CUH Actual Non-pay Expenditure 2016 v 2015

CUH AGENCY COSTS € k 2014-16

CUH AGENCY WTE – 2016

CUH Average Nursing & HCA Agency WTE’s per Week 2014 -16 CUH Average Specials /Other Nursing & HCA Agency WTE’s per Week 2014 -15 CUH Average Specials /Other Nursing & HCA Agency WTE’s per Week 2014 -15

Patient Income 2014 – 2016

Mallow Budget v Actual January 2016 Budget €k Actual €k Variance €k %Variance Pay 1,290 1,265 25 2.0% Non - Pay 409 482 -73 -17.8% Gross Expend 1,699 1,746 -47 -2.8% Income 326 360 34 -10.3% Total 2,025 2,106 -14 -0.7%

Patient Access

INMO Trolley Report Annual data for 2015 and comparative data for 2014

Weekly INMO Trolley Report Week ending 12 th February 2016

ED New Presentations- week ending 21/02/2016 New ED Attendances 180 160 140 120 100 178 New ED Attendances 173 173 170 165 80 149 136 60 40 20 0 15/02/2016 16/02/2016 17/02/2016 18/02/2016 19/02/2016 20/02/2016 21/02/2016

Triage Categories Daily Triage Breakdown 180 26 160 27 32 31 43 140 19 120 20 (blank) Not Triaged 5 - Non Urgent 100 105 72 4 - Standard 106 96 78 3 - Urgent 76 80 2 - Very Urgent 75 1 - Immediate 60 40 55 42 39 39 30 32 20 31 6 4 3 2 2 2 2 0 15/02/2016 16/02/2016 17/02/2016 18/02/2016 19/02/2016 20/02/2016 21/02/2016

Daily Admissions Daily Admissions ED Admissions Other unscheduled admissions Elective admissions 30 28 15 8 9 14 8 20 10 3 2 4 8 0 70 68 65 63 57 52 43 15/02/2016 16/02/2016 17/02/2016 18/02/2016 19/02/2016 20/02/2016 21/02/2016

ED – 6hr & 9hr Target – All Patients R (Quarter 4 2015 & January 2016) 90.00% 78.10% 77.20% 80.00% 76.00% 73.90% 70.00% 60.00% 62% 62.10% 60.80% 60.20% 50.00% 9hr PET 6hr PET Linear (9hr PET) 40.00% Expon. (6hr PET) 30.00% 20.00% 10.00% 0.00% Oct-15 Nov-15 Dec-15 Jan-16

ED – 6hr & 9hr Target – Admitted Patients (Quarter 4 2015 & January 2016) 60.00% 54.90% 51.50% 50.00% 46.20% 48.40% 40.00% 39.50% 37.70% 37.00% 9hr PET 35.30% 6hr PET 30.00% Expon. (9hr PET) Expon. (6hr PET) 20.00% 10.00% 0.00% Oct-15 Nov-15 Dec-15 Jan-16

ED – 6hr & 9hr Target – Non Admitted Patients ( Quarter 4 2015 & January 2016) 100.00% 90.00% 80.00% 70.00% 60.00% Series1 Series2 50.00% Expon. (Series1) Expon. (Series1) 40.00% Expon. (Series2) 30.00% 20.00% 10.00% 0.00% Oct-15 Nov-15 Dec-15 Jan-16

Daily Ambulance Distribution

Time & Distribution of Ambulances

Delayed Discharges Jan- Feb 2016 25 20 15 21 20 10 18 17 15 14 13 13 5 0 5th Jan 12th jan 19th Jan 26th Jan 2nd Feb 9th Feb 16th Feb 23rd Feb

Outpatient Waiting Lists

Patients to be seen by 15 Month Timeline 700 614 600 601 500 400 300 200 180 148 72 100 30 7 0 12-15 Months 15-18 Months 18-21 Months 21-24 Months 24-36 Months 36-48 Months 48+ Months Total Patient Count - 1652 1652 Urgent and Routine Patients who need to be seen by month end (February 2016) to meet the 15 month maximum wait timeline Count of Patients % No of Patients with an Appointment before or on End of Month 250 15.13% Number of Patients with an Appointment Post End of Month 111 6.72% Number of Patients with No Appointment 1291 78.15% Breast & Genera Surgery Activity combined 28

Medical Patients to be seen by 15 Month Timeline – 29/02/2016 120 101 100 93 80 60 53 40 30 20 20 15 15 13 7 6 5 2 1 0 Total Patient Count 361 Breast & General Surgery Activity combined 29

Surgical Patients to be seen by 15 Month Timeline 29/02/2016 120 103 99 97 100 93 89 80 69 60 54 45 35 40 31 30 27 24 22 20 19 20 12 12 2 1 1 1 0 Total Patient Count - 886 Breast & General Surgery Activity combined 30

Women and Children Patients to be seen by 15 Month Timeline – 29/02/2016 100 91 90 80 70 61 60 55 50 43 41 39 40 33 29 30 20 7 10 4 1 1 0 Gynaecology Gynaecology Gynaecology Gynaecology Gynaecology Gynaecology Gynaecology Gynaecology Paediatrics - Gynaecology Paediatric Paediatrics - - Richard - Daniel - John - Suzanne - Barry - Cathy Burke - Helen - Moya Jonathan - Mairead Neurology - Louise Greene McKenna Higgins O'Sullivan O'Reilly Doran McMenamin Hourihane O'Riordan Audrone Gibson Giedraitiene Total Patient Count - 405 Breast & General Surgery Activity combined 31

Patients Currently Waiting Longer Than 12 Months as per 03/02/2016 Waiting List 900 800 767 695 700 600 500 400 283 300 241 228 194 200 153 131 102 99 87 100 60 30 28 10 9 3 2 1 0 Breast & General Surgery Activity combined 32 Total Patient Count - 3123

New and Return DNA Rate in CUH 14% 13% 12% 12% 12% 13% 12% 12% 12% 12% 11% 12% 12% 11% 11% 12% 12% 12% 12% 11% 12% 12% 11% 11% 11% 10% 10% 10% 9% 8% 6% 4% 2% 0% January February March 2015 April 2015 May 2015 June 2015 July 2015 August 2015 September October November December January 2015 2015 2015 2015 2015 2015 2016 New DNA % Return DNA % Breast & General Surgery Activity combined 33

Scope Waiting List

G Scopes Urgent – December

R Scopes Routine - December

INPATIENT WAITING LIST

Total Inpatient & Day case Waiting List (22/02/2016) 3-6 Months 6-8 Months 8-12 Months 12-15 Months 15-18 Months 18-24 Months 24-36 Months Grand Total 268 147 197 65 45 13 3 1191 53 10 18 9 4 266 2 4 8 1 46 321 157 215 76 49 25 4 1503 98 46 79 25 19 6 1 483 11 11 6 2 3 2 131 1 3 6 110 57 85 27 25 8 1 620 431 214 300 103 74 33 5 2123

18 month Breaches (26) 18 18 16 14 12 10 8 6 4 4 2 1 1 2 0 Cardiothoracic General Surgery Gynaecology Plastic Surgery Urology

16 month Breaches (97)

Quality & Safety

G Day Surgery Admission Rate – December 2015

Surgery – Length of Stay - December A

G Emergency Readmission – Surgery -December 2015

Medical ALOS – December 2015 G

ALOS for All Patients – December 2015 A

G ALOS – Excluding LOS over 30 days - December 2015

Emergency Re admission – Medicine – December 2015

G Day Case Rate – Elective Cholecystectomy December 2015

Emergency Hip Fracture Rate – December 2015 R

NEWS Full Implementation – December 2015 G

IMEWS Implementation for pregnant patients G December 2015

Reducing Healthcare Acquired Infection (MRSA) R December 2015

Reducing Healthcare Acquired Infection- C diff R December 2015

Antibiotic Consumption Rate G December 2015

Cancer KPI – Breast-Lung-Prostate January 2016

CUH OPAT Referrals Quarter 4 2015 & January 2016