Most watchers of government might have suspected that restructures and redundancies were used to quietly get rid of the worst performers. Some have se
We recently moved our readers to a new system. You may need to reset your password here to login.
Not a member ? Join here for free.
Forgot your password?
Home News Hospital orthodoxy challenged as strategies fail to free up beds
Text size :
DEPARTMENTSNSW Health, Audit Office of New South Wales
Patch ’em up and get ’em out — Making hospital length of stay an efficiency metric has missed the unintended effect: unplanned readmissions. Managers at local health districts aren’t watching the rate of unplanned readmissions and the result is no increase in available beds.
In New South Wales, length of stay in hospitals is falling, while total admissions are rising. That’s a considerable success for NSW Health, says auditor-general Grant Hehir in his state hospital audit released today, but belies a 25% rate of unplanned readmissions related to deficiency of hospital care.
The department has flagged more research on the issue, and is reviewing its approach to incentivising fewer readmissions.
With increasing pressure on hospital admissions by older and chronically ill patients — a problem that Treasury’s Intergenerational Report says will only increase — the priority placed on reducing average length of stay is seeing results in NSW hospitals. However, there has been no corresponding reduction in unplanned readmissions as rapidly discharged patients find themselves returning for further treatment.
Length of stay is a KPI, highly documented at all levels and successfully reached the target specified in the NSW 2021 state plan. Unplanned readmissions is neither for local health districts, and has failed to achieve the state plan’s target. Both factors are costly. Each overnight stay for acute patients costs the health system on average $1400, Hehir notes:
Receive unlimited access, get all the latest public sector news and features, plus The Juice, our daily news update sent direct to your inbox.
The Mandarin is where Australia's public sector leaders discuss their work and the issues faced within modern bureaucracy. Join today to discover the latest in public administration thinking and news from our dedicated reporters, current and former agency heads and senior executives.
Harley Dennett is editor at The Mandarin based in Canberra. He's held communications roles in the New South Wales public sector and Defence, and reported for titles including Crikey and the Star Observer.
Read Related Content
Most watchers of government might have suspected that restructures and redundancies were used to quietly get rid of the worst performers. Some have seen it first hand. Now, it's official.