Average non-admitted cost per weighted activity unit
Rationale
This indicator is a measure of the cost per WAU compared with the state (aggregated) target, as approved by the Department of Treasury, which is published in the 2021-22 Budget Paper No. 2, Volume 1.
The measure ensures that a consistent methodology is applied to calculating and reporting the cost of delivering non-admitted activity against the state’s funding allocation. Non-admitted services play a pivotal role within the spectrum of care provided to the WA public. Therefore, it is important that non-admitted service provision is monitored to ensure the efficient delivery of safe and high-quality care.
Target
The 2021-22 target for average non-admitted cost per WAU is $6864. Improved or maintained performance is demonstrated by a result below or equal to target.
Results
| Year | Target | Actual | |
|---|---|---|---|
| Year 2021-22 | Target $6864 | Actual $6093 |
|
| Year 2020-21 | Target $7025 | Actual $6004 |
|
| Year 2019-20 | Target $6992 | Actual $7569 |
|
Please note: 2019-20 and 2020-21 actuals have been restated in accordance with the 2021-22 Outcome Based Management Key Performance Indicator Data Definition Manual
Commentary
The target for 2021-22 was developed by WA Health for all HSPs. EMHS has performed positively against the 2021-22 target of $6864 by $771. Although EMHS has performed positively against the target in both 2020-21 and 2021-22, the actual average cost of $6093 is $89 more when compared to the actual average cost of $6004 in the previous year.
Non-admitted activity is related to inpatient activity, as patients who are discharged from hospital are generally referred to non-admitted services for follow-up consultations and medication. Non-admitted activity can include services provided to patients in outpatient clinics, community based clinics or in the home, procedures, medical consultation, allied health or treatment provided by clinical nurse specialists.
Although EMHS experienced a decline in inpatient activity as a result of some residual effects of COVID protocols, the health service has been able to maintain the previous year’s positive performance with respect to the ratio of expenditure to activity for non-admitted services.
Period: 2019-20 – 2021-22 financial years
Contributing sites: Armadale Health Service, Bentley Health Service, Kalamunda Hospital, Royal Perth Hospital, St John of God Midland Public Hospital, St John of God Mount Lawley (contracted services)
Data source: OBM allocation application; Oracle 11i financial system; Non Admitted Patient Data Collection (NAP DC)
Outcome one // Efficiency KPI // Service three: Public hospital non-admitted services