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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

2015/16

Quarterly
Comparison*

Target
2015/16

82%

82%
Q3 YTD

84%

National Comparison: Not available

* 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.

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

2015/16

Quarterly
Comparison*

Target
2015/16

72%

Reported every 3 years by HQCA

78%

National Comparison: Not available

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

3.5

3.6
Q3 YTD

4.0

National Comparison: Better than national results

* 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.

Hand Hygiene (more details)

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

2014/15

2015/16

Quarterly
Comparison*

Target
2015/16

73%

80%

80%

National Comparison: Not available

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

82

82

84

National Comparison: 3rd best (out of 10 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

1.4 hours

1.3 hours

1.2 hours

National Comparison: 4th best (out of 5 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

9.9 hours

9.4 hours

8.2 hours

National Comparison: 3rd best (out of 5 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

3.2 hours

3.2 hours

2.8 hours

National Comparison: 4th best (out of 5 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

3.1 weeks

2.9 weeks

2.6 weeks

National Comparison: 3rd best (out of 9 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

89%

85%

90%

National Comparison: Not available

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

60%

60%

70%

National Comparison: Not available

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

0.96

0.93

0.96

National Comparison: 3rd best (out of 9 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

69% (2014)

Data not available

67% (2014)
70% (2015)

National Comparison: 2nd best for breast cancer & 8th for colorectal (out of 9 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

9.3%

9.1%
Q3 YTD

9.5%

National Comparison: 2nd best (out of 10 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

6.5%

6.6%
Q3 YTD

6.3%

National Comparison: 5th best (out of 10 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

6.2%

6.2%
Q3 YTD

5.9%

National Comparison: 4th best (out of 10 provinces)

* 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

2015/16

Quarterly
Comparison*

Target
2015/16

13.9%

14.8%
Q3 YTD

13.2%

National Comparison: 4th best (out of 10 provinces)

* 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 March 31, 2016. Two measures are not reported every year and their reporting cycles do not align with AHS': Early Detection of Cancer (Alberta Cancer Registry Data), and Satisfaction with Long-Term Care (external source - 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. CIHI presents interactive information at a national, provincial, and local level.