Planned Care services and how DHBs are performing

DHBs have certain requirements for providing Planned Care services.

How well they are meeting those requirements is measured through a comprehensive monitoring framework that reflects the principles of the Planned Care Strategic Approach. The monitoring framework provides a comprehensive view of the number of Planned Care interventions delivered.

The new Planned Care measurement suite is a starting point for a more holistic view of Planned Care performance and is expected to be developed further in consultation with the sector over the next 3 -5 years.

The Elective Services Patient Flow Indicators (ESPIs) measure whether DHBs are meeting the required performance standards at a number of key decision or indicator points on the person’s journey through the Planned Care system. This includes from when the person is first referred for a specialist assessment, through assessment, diagnostic tests, treatment and follow-up, to the point when the person returns to the care of their GP (or primary care provider).  Some summary information is available to the general public, but more detailed information is only available to the DHBs.

The information below is a summary of the current Planned Care measures suite and principles.

Planned Care Principle: Access

Patients can access the care they need in the right place, with the right health provider.

How is this measured?

  • Number of Planned Care Interventions provided, regardless of setting, (ie inpatient, outpatient or community) and provision of alternative models of care.
  • Number of patients waiting without a commitment to treat whose priorities are higher than the actual treatment threshold (aTT) (This is measured by ESPI 3)
  • The proportion of patients who were prioritised using approved nationally recognised processes or tools (This is measured by ESPI 8)

Planned Care Principle: Timeliness

Patients receive timely information about the progress of their referral, and care is provided at the most appropriate time to support improved health.

How is this measured?

  • DHB services appropriately acknowledge and process more than 90% of referrals in 15 calendar days or less (This is measured by ESPI 1)
  • Number of people waiting longer than four months for their first specialist assessment (FSA) (This is measured by ESPI 2)
  • Number of people given a commitment to treatment but not treated within four months (This is measured by ESPI 5)
  • Diagnostic Waiting Times – for Coronary Angiography, Computed Tomography (CT), and Magnetic Resonance Imaging (MRI)
  • Ophthalmology Follow up Waiting Times – proportion of people seen for ophthalmology follow-up within clinically intended timeframes.
  • Faster Cancer Treatment – 31 day indicator (Note: this measure will be linked to the existing reporting through the cancer programme)
  • Cardiac Wait times – proportion of people treated within the clinical urgency timeframes for cardiac surgery.

Planned Care Principle: Quality

Services are safe, effective, efficient, appropriate and respectful and support improved health outcomes.

This is measured by the number of acute readmissions.

Planned Care Principle: Experience

You and your whānau work in partnership with healthcare providers to make informed choices about Planned Care, which responds to your needs, rights and preferences.

These are measured by the Health Quality and Safety Commission (HQSC) inpatient experience survey and the primary care experience survey (focus on specialist care and hospital service questions).

Planned Care Principle: Equity

You will get the healthcare that safely meets your needs and preferences, regardless of who you are, or where you are.

How is this measured?

Where applicable for all measures above information will be collected and reported on by the key variables of age group, gender, ethnicity and socioeconomic deprivation.

Did Not Attends (DNAs) for FSA will be developed as a measure from NPF during 2019/20.

In this section

  • There are six Elective Services Patient Flow Indicators (ESPIs) that measure whether DHBs are meeting the required performance standard at at a number of key decision or indicator points on the person’s journey through the Planned Care system Read more
  • This section summarises and compares indicators for each DHB, including surgical services and trends in performance over the last 12 months. Read more
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