Health Targets

Quarterly Reports
Improving Elective Services Target

A summary from the target champion and detailed information on the national progress towards this target is provided below:

Specific information on each DHB's progress towards this target is provided on their individual pages. You can access them on the Targets by DHB page.

More information on the Improving Elective Services Target
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Summary

There are two parts to the improving elective services health target:

maintaining compliance with Elective Services Patient Flows Indicators (ESPIs)
delivering an agreed increase in the level of elective service patient discharges.

Elective Services Patient Flow Indicators (ESPIs)
For patients referred for elective (non-urgent) assessment or treatment there are some decision points about priority and access to treatment. The indicators (ESPIs) monitor how effectively DHBs manage the patients referred for elective assessment or treatment.

07/08 Target Achievement
Thirteen out of 21 DHBs were ESPI compliant every month of the year. Another six DHBs were compliant for nine months of the year.
Quarter Three 2007/08
The way DHBs manage their elective systems has remained at a similar level to quarter two. Five DHBs have rated as outstanding by meeting the targets that they have set. These targets are better than the Ministry compliance threshold. Also, 10 DHBs have achieved the Ministry target.
Quarter Two 2007/08
There has been a small improvement in the way DHBs manage their elective systems. Fifteen DHBs now have either an achieved or outstanding rating through meeting the targets that they have set. These targets are better than the Ministry compliance threshold. Northland, Taranaki, Nelson Marlborough and Otago DHBs have all received an “Outstanding” performer rating for both quarters.
Quarter One 2007/08
Significant progress was made, with DHBs improving the way that their elective systems are managed. This improvement is reflected in the results, with two thirds of DHBs receiving achieved or outstanding ratings for the ESPI part of the Health Target.

More information on the ESPIs can be found on the Elective Services website (www.electiveservices.govt.nz).

Discharge volumes
DHBs have agreed a base (minimum) number of elective services to be delivered each year. Each DHB has also set a target to deliver an additional (extra) level of elective service discharges to their population. These services may be delivered by the local district hospital, or by a hospital outside the DHB region for specialty services, for example, cardiac surgery. The health target includes surgical service discharges, plus dental, cardiology and some outpatient services for example endoscopy.

07/08 Target Achievement
In 2007/08, an increase of 11,864 elective discharges was achieved. This is an 8.7% increase against a target of 10%.
Quarter Three 2007/08
Progress in this area has deteriorated slightly. Seven DHBs have delivered services in excess of their planned target. Overall, at the end of March 2008 a 6 percent increase has been achieved, representing an additional 6055 discharges. A 10 percent increase (9837 discharges) was planned. Many DHBs have timed the delivery of additional service in the third and fourth quarters of 2007/08. Delays in coding some discharges and capacity constraints in some DHBs continue to affect the results.
Quarter Two 2007/08
At the end of December 2007, a six per cent increase in discharge volumes was achieved; this represents an additional 3738 patient discharges. A nine per cent increase was planned. Progress in this area has improved for the second quarter with nine DHBs delivering services in excess of their planned target. Auckland, Wairarapa and South Canterbury DHBs have all delivered more than 20 per cent additional discharges to their planned targets. Delays in reporting discharges and capacity constraints in some DHBs continue to affect the results in this target area.
Quarter One 2007/08
Progress in this area was slow, with the amount of elective services delivered being lower than the amount planned for the first quarter. Two thirds of the DHBs have not achieved delivery of their planned target volumes. There are a range of contributing factors to this result, including variability in first quarter volume delivery, delays in DHB completion of reporting and capacity constraints

Detailed information

National 2007/08 Achievement

Volumes	Outstanding		Waitemata	Auckland Counties Manukau	Northland Lakes Wairarapa Nelson Marlborough South Canterbury
	Achieved		Southland
	Partially Achieved		Midcentral		Taranaki
	Not achieved	Waikato Whanganui	Tairawhiti Capital and Coast West Coast	Hawke’s Bay Hutt Valley Canterbury	Bay of Plenty Otago
		Not achieved	Partially Achieved	Achieved	Outstanding
		ESPIs

Rating	No of DHBs that have achieved the rating in Quarter One	No of DHBs that have achieved the rating in Quarter Two	No of DHBs that have achieved the rating in Quarter Three	No of DHBs that have achieved the rating in 2007/08
Outstanding	7	8	6	7
Achieved	0	1	4	3
Partially Achieved	12	11	8	9
Not Achieved	2	1	3	2

ESPIs National Summary

Rating	No. of DHBs that have achieved the rating in Quarter One	No. of DHBs that have achieved the rating in Quarter Two	No. of DHBs that have achieved the rating in Quarter Three	No. of DHBs that have achieved the rating in 2007/08
Outstanding	7	6	5	8
Achieved	9	9	10	5
Partially Achieved	2	5	3	6
Not Achieved	3	1	3	2

DHB	Quarter One Rating	Quarter Two Rating	Quarter Three Rating	2007/08 Rating
Northland	Outstanding	Outstanding	Outstanding	Outstanding
Waitemata	Achieved	Outstanding	Partially Achieved	Partially Achieved
Auckland	Achieved	Achieved	Achieved	Achieved
Counties Manukau	Achieved	Achieved	Achieved	Achieved
Waikato	Partially Achieved	Not Achieved	Not Achieved	Not Achieved
Lakes	Achieved	Outstanding	Achieved	Outstanding
Bay of Plenty	Outstanding	Partially Achieved	Achieved	Outstanding
Tairawhiti	Achieved	Partially Achieved	Partially Achieved	Partially Achieved
Taranaki	Outstanding	Outstanding	Outstanding	Outstanding
Hawkes Bay	Achieved	Achieved	Achieved	Achieved
MidCentral	Achieved	Partially Achieved	Achieved	Partially Achieved
Whanganui	Not Achieved	Partially Achieved	Not Achieved	Not Achieved
Capital and Coast	Partially Achieved	Partially Achieved	Not Achieved	Partially Achieved
Hutt Valley	Achieved	Achieved	Achieved	Achieved
Wairarapa	Outstanding	Achieved	Outstanding	Outstanding
Nelson Marlborough	Outstanding	Outstanding	Achieved	Outstanding
West Coast	Not Achieved	Achieved	Achieved	Partially Achieved
Canterbury	Achieved	Achieved	Achieved	Achieved
South Canterbury	Outstanding	Achieved	Outstanding	Outstanding
Otago	Outstanding	Outstanding	Outstanding	Outstanding
Southland	Not Achieved	Achieved	Partially Achieved	Partially Achieved

Volumes National Summary

Rating	No. of DHBs that have achieved the rating in Quarter One	No. of DHBs that have achieved the rating in Quarter Two	No. of DHBs that have achieved the rating in Quarter Three	No. of DHBs that have achieved the rating in 2007/08
Outstanding	7	9	5	8
Achieved	1	1	2	1
Partially Achieved	0	0	3	2
Not Achieved	13	11	11	10

Percentage additional delivery - planned and delivered

Graph of the percentage additional delivery - planned and delivered.

View source data for this graph

National trend in elective services increase

Graph of the national trend in elective services discharges.

This graph presents a time series for in-patient surgical elective services (including dental) and cardiology - it is a subset of the national target and represents 89% of the total Health Target. It excludes outpatient procedures such as endoscopy, lithotripsy and minor general surgical procedures that will not be included in future years’ Health Targets.

Additional information
Definitions of the Levels of Achievement

Page last updated: 17 October 2008

Health Targets

Quarterly ReportsImproving Elective Services Target

Summary

Elective Services Patient Flow Indicators (ESPIs)

Discharge volumes

Detailed information

National 2007/08 Achievement

ESPIs National Summary

Volumes National Summary

Percentage additional delivery - planned and delivered

National trend in elective services increase

Additional information

Quarterly Reports
Improving Elective Services Target