黑料吃瓜群网

黑料吃瓜群网s off Target for Improving Timely Care in Elective Surgery and Emergency Departments

By Ryan Mccann
Thursday, 20 June, 2013


In its inaugural report on The Council of Australian Government鈥檚 (COAG) National Partnership on Improving Public 黑料吃瓜群网鈥檚 the COAG Reform Council has found聽 no state or territory has met all targets for improving timely care in elective surgery and emergency departments.
The $3.3 billion project has achieved mixed results with only the ACT meeting all nine elective surgery targets in the agreement, and Western Australia being the only state to achieve its emergency department targets.
Chairman, the Hon John Brumby said in some cases states and territories came very close.
鈥淎lthough some of the targets have only been partially achieved or not achieved at all, there was still some good performance from governments," Mr Brumby said. 鈥淲ith four years left under this agreement, there is still time for governments to achieve the goal of timely emergency department care and elective surgery for all Australians. 鈥淲ith next year鈥檚 report we will be able to see if the performance of governments improves.鈥
Mr Brumby said that governments are facing big challenges to meet the community鈥檚 high expectations for our health system. 鈥淭hese findings coupled with those in our recent report on the National Healthcare Agreement show that governments are taking steps to improve our health system, but they have their work cut out for them,鈥 Mr Brumby said. 鈥淲e have an increasing chronic disease burden, a growing and ageing population, and rising costs of services and health technologies鈥攁ll factors that challenge governments in achieving targets under this National Partnership Agreement.鈥
Minister for Health Tanya Plibersek said the report does show improvements.
鈥淚t tells us that we've achieved well in some areas. 鈥淔or example, in 2012 there are 90,000 more elective surgeries than there were in 2007 when we started this process of health reform.聽 鈥淪o, that鈥檚 90,000 extra surgeries between 2007 and 2012.
鈥淎nother area to look at is the number of people who turned up to emergency and the waiting times that they're experiencing. 鈥淏etween 2007 and 2012, the number of people turning up to emergency departments in hospital has increased by a million, from 5.5 million people turning up in 2007 to 6.5 million people turning up in 2012, and those people are being seen in a faster time frame than they were in 2007. 鈥淪o, despite the very significant growth in the number of people being seen in emergency, we're also seeing progress towards meeting our target of people being seen, discharged or transferred within four hours.鈥
The council鈥檚 report assesses governments鈥 performance against elective surgery and emergency department targets. The elective surgery targets are for the proportion of patients seen within clinically recommended times, and for reducing average waiting periods that go over those times. Governments are also required to ensure that the 10 per cent of people who have waited the longest beyond the recommended time are seen within a year.
The emergency department targets are that patients must be admitted to hospital, referred on or discharged within four hours鈥攁ll states and territories have agreed to achieve 90 per cent by 2015.
Under the agreement, reward payments of up to $400 million are available to states and territories between 2012鈥13 and 2016鈥17, subject to the council鈥檚 reports to COAG. The allocation of reward funding is at the discretion of the Commonwealth

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