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Hospital Performance: Time patients spent in emergency departments in 2011–12

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Time in ED: differences between hospitals within peer groups

In 2011–12, as well as differences between peer groups, there were large differences nationally within hospital peer groups in the percentage of all patients departing public hospital EDs within four hours of arrival (see Figure 1).

Importantly, each state and territory has an individual target for each calendar year to help it progress towards the 2015 NEAT, which sets a goal of 90% of all patients departing EDs within four hours (see Table 4).

All patients departing ED within four hours of arrival

In 2011–12 the percentage of all patients departing ED within four hours of arrival varied across hospitals in each peer group:

  • Major metropolitan hospitals:
    from 74% for Fremantle Hospital (WA) to 33% for Princess Alexandra Hospital (QLD)
  • Major regional hospitals:
    from 79% for Bunbury Hospital (WA) to 47% for Lismore Hospital(NSW)
  • Large metropolitan hospitals:
    from 83% for Rockingham Hospital (WA) to 48% for Hornsby Ku-ring-gai Hospital (NSW)
  • Large regional hospitals:
    from 92% for Albany Hospital (WA) to 61% for Grafton Hospital (NSW)
  • Medium hospitals:
    from 93% for Williamstown Hospital (VIC) to 41% for Mount Druitt Hospital (NSW) (see Figure 1).

Hospitals whose 2011–12 results against the four-hour NEAT were in either the top 10% or bottom 10% of their peer group nationally are displayed in Figure 1.

In this report the Authority makes no determination that any particular hospital is performing either poorly or well. Hospitals have more than two years to reach the 2015 target, and a number are already meeting it.

Figure 1 sets out a summary of the performance of all hospitals for all patients (including those who were subsequently admitted and those who were discharged) who presented at public hospital EDs. It identifies those hospitals whose 2011–12 performance against the four-hour target placed them in either the top 10% or bottom 10% of their respective categories.

Specialist hospitals

Specialist hospitals are reported for each state and territory separately on the following pages:

These hospitals are not similar to other hospitals or each other and are not compared.

How does my local hospital compare?

Want to know more about your local hospital? Go to www.myhospitals.gov.au

Peer overview - all patients

Figure 1: Percentage of all patients departing ED within four hours of arrival amongst the largest hospital EDs in Australia, by peer group1, 2011–12

Chart showing the percentage distribution of all patients departing emergency departments within four hours of arrival amongst the largest hospital EDs in Australia, by peer group (major metro, major regional, large metro, large regional and medium hospitals) in 2011-12. Hospitals in Western Australia made up much of the top 10% nationally across the different groups.

Legend for the above figure, denoting presentation and performance via data point size and colour respectively.

Hospital Peer group State or territory Peer group performance State or territory
2012 target2
Departed
within four
hours
National comparison
Fremantle Hospital Major metropolitan WA 54% 76% 74% Highest 10%
Royal Perth Hospital Major metropolitan WA 54% 76% 72% Highest 10%
Casey Hospital Major metropolitan Vic 54% 70% 69% Highest 10%
Sir Charles Gairdner Hospital Major metropolitan WA 54% 76% 68% Highest 10%
Joondalup Health Campus (Public) Major metropolitan WA 54% 76% 65% Highest 10%
Western Hospital [Footscray] Major metropolitan Vic 54% 70% 41% Lowest 10%
Westmead Hospital Major metropolitan NSW 54% 69% 39% Lowest 10%
Blacktown Hospital Major metropolitan NSW 54% 69% 37% Lowest 10%
Liverpool Hospital Major metropolitan NSW 54% 69% 36% Lowest 10%
Princess Alexandra Hospital Major metropolitan Qld 54% 70% 33% Lowest 10%
Bunbury Hospital Major regional WA 63% 76% 79% Highest 10%
Bundaberg Hospital Major regional Qld 63% 70% 77% Highest 10%
Mackay Base Hospital Major regional Qld 63% 70% 77% Highest 10%
Nambour Hospital Major regional Qld 63% 70% 50% Lowest 10%
Lismore Hospital Major regional NSW 63% 69% 47% Lowest 10%
Rockingham Hospital Large metropolitan WA 67% 76% 83% Highest 10%
Swan District Hospital Large metropolitan WA 67% 76% 81% Highest 10%
Hornsby Ku-ring-gai Hospital Large metropolitan NSW 67% 69% 48% Lowest 10%
Albany Hospital Large regional WA 78% 76% 92% Highest 10%
Grafton Base Hospital Large regional NSW 78% 69% 61% Lowest 10%
Williamstown Hospital Medium Vic 76% 70% 93% Highest 10%
Mount Druitt Hospital Medium NSW 76% 69% 41% Lowest 10%

XX% In highest 10% of peer group hospitals nationally

XX% In lowest 10% of peer group hospitals nationally

1. For more information on measures and peer groups see About the data.

2. The national target is 90% of all patients depart ED within four hours arrival by 2015. Hospitals have more than two years to achieve the national target.

Source: National Non-admitted Patient Emergency Department Care Database 2011–12, data extracted 5 November 2012.

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