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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.

2014/15
Q4 YTD

2015/16
Q4 YTD

Trend*

Target
2015/16

81.8%

81.8%

84%

Comparison: Comparable national data is not available for this measure.

* Trend:

Achieved Target Stable or Better than Prior Period 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.

2014/15
Q4 YTD

2015/16
Q4 YTD

Trend*

Target
2015/16

3.5

3.6

4.0

Comparison: According to the Canadian Nosocomial Infection Surveillance Program based on 60 participating Canadian hospitals, the Western region which includes Alberta has a lower rate of infections than the country overall.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2016/17

78.2%

82.6%

90%

Comparison: Direct comparison to other jurisdictions is not possible given different approaches to measuring hand washing compliance.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2016/17

94

87

90

Comparison: Alberta ranked 3rd best nationally out of 10 provinces. Alberta is performing the same as the national rate in 2014-15.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2016/17

1.4 hours

1.4 hours

1.2 hours

Comparison: Alberta ranked 4th best nationally out of 5 provinces in 2015-16.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2016/17

9.4 hours

9.1 hours

9.3 hours

Comparison: Alberta ranked 2nd best nationally out of five provinces in 2015-16.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2016/17

3.2 hours

3.3 hours

3.1 hours

Comparison: Alberta ranked 4th best nationally out of five provinces in 2015-16.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2016/17

2.9 weeks

2.8 weeks

2.6 weeks

Comparison: Alberta ranks 3rd best nationally among nine provinces in 2014-15.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2016/17

85%

75%

90%

Comparison: Comparable national data is not available for this measure.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2016/17

60%

62%

62%

Comparison: Comparable national data is not available for this measure.

* Trend:

Achieved Target Stable or Better than Prior Period 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
Q1 YTD

2016/17
Q1 YTD

Trend*

Target
2015/16

0.99

0.99

0.98

Comparison: Alberta ranked 3rd best nationally out of nine provinces in 2014-15.

* Trend:

Achieved Target Stable or Better than Prior Period 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.

2014/15
Q4 YTD

2015/16
Q4 YTD

Trend*

Target
2015/16

8.8%

8.6%

Not comparable due to CIHI definition and methodology refinement

Comparison: Alberta ranked 2nd best nationally out of ten provinces and better than the national rate in 2014-15.

* Trend:

Achieved Target Stable or Better than Prior Period Requires Additional 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.

2014/15
Q4 YTD

2015/16
Q4 YTD

Trend*

Target
2015/16

6.5%

6.5%

6.3%

Comparison: Alberta ranked 5th best nationally out of ten provinces and the same as the national rate in 2014-15.

* Trend:

Achieved Target Stable or Better than Prior Period Requires Additional Focus

Performance Report

Archived Performance Measures

View archive

Monitoring Measures (previously reported measures)

Notes:

  • The data for 13 of the measures is reported quarterly and was updated as of June 30, 2016. Four annual measures have been removed from quarterly reports and will be updated in the AHS Annual Report: Satisfaction with Long-Term Care (external source - Health Quality Council of Alberta), Early Detection of Cancer (Alberta Cancer Registry Data), and Heart Attack Mortality and Stroke Mortality results fluctuate significantly quarter to quarter given the small denominators associated with these measures.
  • 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.