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Performance Measures

AHS has 17 performance measures which are used to monitor how our health system is performing. The 17 measures provide a balanced snapshot across the spectrum of care and include measures for acute care as well as those for community-based care and better patient outcomes in the areas of seniors’ care, mental health, emergency access and cancer care.

Many of the measures are aligned to national benchmarks, so that Albertans can see how their health system is performing compared to the rest of Canada.

We have seen considerable progress in these measures at the provincial, zone and site level for many of these measures.

In areas that we have already met or exceeded targets, we will continue to strive for more improvement. We are focused on areas that still need work.

We do not expect to see these measures dramatically shift in the short-term. With these measures, small changes will represent large improvements to the health system and this will take place over time.

Performance Measures Overview

These measures are grouped into categories that reflect the Alberta Health Quality Matrix.

Acceptability

Satisfaction with Hospital Care (more details)

The percentage of adult patients who rated their overall care in hospital as 8, 9 or 10, where zero is the lowest level of satisfaction possible and 10 is the best.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

81.8%

82.5%
2014/15
Q1 YTD

82.5%
2015/16
Q1 YTD

84%

* Comparative Performance:
Improvement Stability Requires Additional Focus

Satisfaction with Long Term Care (more details)

The percentage of families of long term care residents who rated the overall care as 8, 9 or 10, where zero is the lowest level of satisfaction possible and 10 is the best.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

Reported by HQCA in 2007 as 71% and in 2010 as 73%. The 2014/15 results were 72%.

78%

* Comparative Performance:
Improvement Stability Requires Additional Focus

Safety

Hospital-Acquired Infections (more details)

The number of Clostridium difficile infections (C-diff) acquired in hospital every 10,000 days of care. A rate of 4.0 means approximately 100 patients per month acquires C-diff infections in Alberta.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

3.5

3.8
2014/15
Q1 YTD

3.5
2015/16
Q1 YTD

4.0

* Comparative Performance:
Improvement Stability Requires Additional Focus

Hand Hygiene (more details)

The percentage of times health care workers clean their hands during the course of patient care.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

73.4%

Not previously reported quarterly

78.9%

80%

* Comparative Performance:
Improvement Stability Requires Additional Focus

Hospital Mortality (more details)

The actual number of deaths compared to the expected number of deaths in hospital. Values less than 100 mean fewer than expected deaths In Alberta.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

82

79

83

84

* Comparative Performance:
Improvement Stability Requires Additional Focus

Accessibility

Emergency Department Wait to see a Physician** (more details)

The average patient's length of time in emergency department before being seen by a physician at the 17 busiest emergency departments.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

1.4 hours

1.4 hours

1.3 hours

1.2 hours

* Comparative Performance:
Improvement Stability Requires Additional Focus

** AHS reports on the busiest 17 Emergency Departments across Alberta. One of these sites, Northeast Community Health Centre, is a non-admitting site. Therefore, it is not included in the Emergency Department Length of Stay for Admitted Patients measure.

Emergency Department Length of Stay for Admitted Patients** (more details)

The average patient's length of time in the emergency department before being admitted to a hospital bed at the 16 busiest emergency departments.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

9.9 hours

9.7 hours

9.2 hours

8.2 hours

* Comparative Performance:
Improvement Stability Requires Additional Focus

** AHS reports on the busiest 17 Emergency Departments across Alberta. One of these sites, Northeast Community Health Centre, is a non-admitting site. Therefore, it is not included in the Emergency Department Length of Stay for Admitted Patients measure.

Emergency Department Length of Stay for Discharged Patients** (more details)

The average patient's length of time in the emergency department before being discharged at the 17 busiest emergency departments.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

3.2 hours

3.1 hours

3.1 hours

2.8 hours

* Comparative Performance:
Improvement Stability Requires Additional Focus

** AHS reports on the busiest 17 Emergency Departments across Alberta. One of these sites, Northeast Community Health Centre, is a non-admitting site. Therefore, it is not included in the Emergency Department Length of Stay for Admitted Patients measure.

Access to Radiation Therapy (more details)

The length of time or less that 9 out of 10 patients wait to receive radiation therapy.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

3.1 weeks

3.3 weeks

2.9 weeks

2.6 weeks

* Comparative Performance:
Improvement Stability Requires Additional Focus

Children's Mental Health Access (more details)

Percent of children (age 0-17 years) offered scheduled community mental health treatment within 30 days from referral.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

89%

85%

87%

90%

* Comparative Performance:
Improvement Stability Requires Additional Focus

Appropriateness

Continuing Care Placement (more details)

The percentage of people placed into continuing care within 30 days of being referred.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

60%

64%

60%

70%

* Comparative Performance:
Improvement Stability Requires Additional Focus

Efficiency

Acute (Actual) Length of Hospital Stay Compared to Expected Stay**** (more details)

The actual length of stay in hospital compared to the expected length of stay in hospital. Every .01 drop in this ratio means we can treat over 3,200 more patients in hospital every year.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

0.96

0.95

0.93

0.96

* Comparative Performance:
Improvement Stability Requires Additional Focus

**** The ALOS/ELOS ratio is calculated using the Expected Length of Stay (ELOS) from the 2014 Case Mix Group Plus (CMG+) for each inpatient case. The CMG+ methodology is updated on a yearly basis by the Canadian Institute for Health Information (CIHI). There were significant methodology differences between the 2014 and 2015 CMG+ methodologies producing results which are not comparable from 2014/15 to 2015/16. To address this limitation, the 2015/16 results in this Q2 report are calculated using the 2014 CMG+ methodology.

Effectiveness

Early Detection of Cancer (more details)

The percentage of patients with breast, cervical and colorectal cancers who are diagnosed at early stages.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

66% (2011)
67% (2012)
68% (2013)

Reported
Annually

Reported
Annually

70%

* Comparative Performance:
Improvement Stability Requires Additional Focus

Mental Health Readmissions*** (more details)

The percentage of mental health patients with unplanned readmission to hospital within 30 days of leaving hospital.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

9.3%

9.3%
2014-15
Q1 YTD

9.3%
2015-16
Q1 YTD

9.5%

* Comparative Performance:
Improvement Stability Requires Additional Focus

*** This measure is reported a quarter later due to the requirement to follow-up with patients after the end of the reporting quarter.

Surgery Readmissions*** (more details)

The percentage of surgical patients with unplanned readmission to hospital within 30 days of leaving hospital.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

6.5%

6.9%
2014-15
Q1 YTD

6.8%
2015-16
Q1 YTD

6.3%

* Comparative Performance:
Improvement Stability Requires Additional Focus

*** This measure is reported a quarter later due to the requirement to follow-up with patients after the end of the reporting quarter.

Heart Attack Mortality*** (more details)

The percentage of patients dying in hospital within 30 days of being admitted for a heart attack.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

6.1%

5.9%
2014-15
Q1 YTD

6.5%
2015-16
Q1 YTD

5.9%

* Comparative Performance:
Improvement Stability Requires Additional Focus

*** This measure is reported a quarter later due to the requirement to follow-up with patients after the end of the reporting quarter.

Stroke Mortality*** (more details)

The percentage of patients dying in hospital within 30 days of being admitted for a stroke.

2014/15
Performance

2014/15
Q2 YTD

2015/16
Q2 YTD

Comparative Performance*

Target 2015/16

13.9%

14.3%
2014-15
Q1 YTD

14.1%
2015-16
Q1 YTD

13.2%

* Comparative Performance:
Improvement Stability Requires Additional Focus

*** This measure is reported a quarter later due to the requirement to follow-up with patients after the end of the reporting quarter.

Performance Report

Archived Performance Measures

View archive   

Monitoring Measures (previously reported measures)

Notes:

  • The data for 15 of the measures is reported quarterly and was updated as of September 30, 2015. Two measures are reported by external organizations, and their reporting cycles do not align with the AHS quarterly report. (Early Detection of Cancer is reported annually by the Alberta Cancer Registry, and Satisfaction with Long Term Care is reported annually by the Health Quality Council of Alberta.)
  • Parts of this material are based on data and information provided by the Canadian Institute for Health Information. However, the analyses, conclusions, opinions and statements expressed herein are those of the author and not necessarily those of the Canadian Institute for Health Information. 

Canadian Institute for Health Information (CIHI) Related Links:

  • Many of the measures that AHS reports on are also submitted to CIHI. CIHI also collects these measures from other provinces to create national comparisons.
  • CIHI posts wait times on specific measures from across Canada
  • To look at specific wait times and other measures in your community or province, CIHI presents interactive information at a national, provincial, and local level