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Performance Measures

AHS has 17 performance measures which are used to monitor how our health system is performing. 13 measures are reported quarterly and four are reported annually and will be included in the year-end AHS Annual Report. These 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)

Percentage of adults aged 18 years and older discharged from hospitals who rate their overall stay as 8, 9 or 10 out of 10, where zero is the lowest level of satisfaction possible and 10 is the best.

2015/16
Q3 YTD

2016/17
Q3 YTD

Trend*

Target
2016/17

82.3%

82.6%

85.0%

2014/15 National Comparison: Not available

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Satisfaction with Long-Term Care (more details)

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

2015/16

2016/17

Trend*

Target 2016-17

2007 = 71%
2010 = 73%
2014 = 72%

Reported by HQCA

2014/15 National Comparison: Not available

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Safety

Hospital-Acquired Infections (more details)

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

2015/16
Q3 YTD

2016/17
Q3 YTD

Trend*

Target
2016/17

3.5

3.4

3.3

2014/15 National Comparison: Better than national results based on Surveillance data

* Trend:

Achieved Target Improvement Stable than prior period ≤3% Area requires additional focus

Hand Hygiene (more details)

Percentage of opportunities for which health care workers clean their hands during the course of patient care.

2015/16

2016/17

Trend*

Target
2016/17

79.8%

82.2%

90%

2015/16 National Comparison: Not available

* Trend:

Achieved Target Improvement Stable than prior period ≤3% Area requires additional focus

Hospital Mortality (more details)

The ratio of actual number of deaths compared to the expected number of deaths based upon the type of patients admitted to hospitals. This ratio is multiplied by 100 for reporting purposes.

2015/16

2016/17

Trend*

Target
2016/17

93

93

90

2015/16 National Comparison: 5th out of 9 provinces

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area 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.

2015/16

2016/17

Trend*

Target
2016/17

1.3 hours

1.3 hours

1.2 hours

2015/16 National Comparison: 4th out of 5 provinces

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

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.

2015/16

2016/17

Trend*

Target
2016/17

9.4 hours

9.5 hours

9.3 hours

2015/16 National Comparison: 2nd out of 5 provinces (busiest sites)

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

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. This is calculated as the median length of stay which means that 50 per cent of patients stay in the ED this length of time or less.

2015/16

2016/17

Trend*

Target
2016/17

3.2 hours

3.2 hours

3.1 hours

2015/16 National Comparison: 4th out of 5 provinces

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Access to Radiation Therapy (more details)

Ninety per cent of patients wait for radiation therapy this length of time or less (measured from when they are ready to treat). This measure is the time from the date the patient was physically ready to commence treatment, to the date that the patient received his/her first radiation therapy.

2015/16

2016/17

Trend*

Target
2016/17

2.9 weeks

2.7 weeks

2.6 weeks

2015/16 National Comparison: 4th out of 9 provinces (Q2 YTD 2016/17)

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Children's Mental Health Access (more details)

Percentage of children aged 0 to 17 years offered scheduled community mental health treatment within 30 days from referral.

2015/16

2016/17

Trend*

Target
2016/17

85%

81%

90%

2015/16 National Comparison: Not available

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Appropriateness

Continuing Care Placement (more details)

The percentage of clients admitted to a continuing care space (supportive living or long-term care) within 30 days of the date they are assessed and approved for placement. This includes patients assessed and approved and waiting in hospital or community.

2015/16

2016/17

Trend*

Target
2016/17

60%

56%

62%

2015/16 National Comparison: Not available

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Efficiency

Acute Length of Stay (ALOS) Compared to Expected Length of Stay (ELOS) (more details)

The number of acute days patients stay in acute care hospitals compared to the expected length of stay for a typical patient.

2015/16

2016/17

Trend*

Target
2016/17

1.00

0.98

0.98

2015/16 National Comparison: 3rd out of 9 provinces

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Effectiveness

Mental Health Readmissions (more details)

The percentage of patients who have mental health disorders with unplanned readmission to hospital within 30 days of leaving hospital. Excludes patients who have mental health disorders who require scheduled follow-up care.

2015/16
Q3 YTD

2016/17
Q3 YTD

Trend*

Target
2016/17

8.6%

8.6%

8.5%

2014/15 National Comparison: 2nd out of 10 provinces

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires addition focus

Surgery Readmissions (more details)

The percentage of surgical patients with unplanned readmission to hospital within 30 days of leaving the hospital. Excludes surgical patients who require scheduled follow up care.

2015/16
Q3 YTD

2015/16
Q3 YTD

Trend*

Target
2016/17

6.6%

6.7%

6.3%

2014/15 National Comparison: 5th out of 10 provinces

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Early Detection of Cancer (more details)

The percentage of patients with breast, cervical and colorectal cancers who were diagnosed at early stages 1 or 2.

2015/16

2016/17

Trend*

Target
2015/16

66% (2011)
67% (2012)
68% (2013)
69% (2014)
70% (2015)

70%

2015/16 National Comparison: 2nd for breast cancer and 8th for colorectal cancer out of 9 provinces in 2010

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Heart Attack Mortality (more details)

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

2015/16
Q3 YTD

2016/17
Q3 YTD

Trend*

Target
2016/17

6.2%

5.8%

5.9%

2014/15 National Comparison: 4th out of 10 provinces

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Stroke Mortality (more details)

The probability of dying in hospital within 30 days for patients admitted because of stroke.

2015/16
Q3 YTD

2016/17
Q3 YTD

Trend*

Target
2016/17

14.8%

13.5%

13.2%

2014/15 National Comparison: 4th out of 10 provinces

* Trend:

Achieved target Improvement Stable than prior period ≤3% Area requires additional focus

Performance Report

Archived Performance Measures

View archive

Monitoring Measures (previously reported measures)

Notes:

  • The 17 performance measures are updated as of March 31, 2017.
  • 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. CIHI presents interactive information at a national, provincial, and local level.