BOPDHB Annual Report 2013 BOPDHB Annual Report 2013 | Page 13

Statement of Service Performance for year ended 30 June 2013 Our performance against our long-term framework is reported below. measures the health of our population is improving. Outcome Goal People take greater responsibility for their health Outcome Measure  Fewer people smoke  Reduction in vaccine preventable diseases  People have healthier diets People stay well in their homes and communities  Children and adolescents have better oral health  Early detection of treatable conditions People receive timely and appropriate care Overall, against these outcome Comment / Achievement Improvement has been recorded against the ‘fewer people smoke’ and ‘reduction in vaccine preventable disease’ outcomes. The latest NZ Health Survey, the source of the information to support progress against the ‘healthier diets’ target is not yet available. Our oral health results remain off target, but with the improvement this year in the caries free and decayed, missing and filled teeth (DMFT) rates, along with improved preschool and primary enrolment rates. We are in a strong position to progress. Breast and cervical screening rates continue to improve.  People better at managing their long term conditions Cardio-Vascular Disease (CVD) assessment rates continue to improve and Diabetes management rates are stable, which will increase with the Diabetes Care Improvement Package launched this year.  Fewer people are admitted to hospital for avoidable conditions Our Ambulatory-Sensitive Hospitalisations (ASH) rates have not improved. This is a focus area for 2013/14 with a project group developing strategies to improve our performance against this measure.  People maintain functional independence We have reduced the percentage of our over 65 year old population in Aged Residential Care (5.07%: 5.26% target), while maintaining the proportion that receive Home Based Support Services (12.04%: 12.15% target). These indicate our over 65s are able to stay well in their own homes for longer.  People are seen promptly for acute care  People have appropriate access to elective services Our Emergency Department has increased the number of patients seen by 3.2% on 2012, while maintaining performance at 90% of patients seen within six hours against the health target measure of 95%. Elective surgery achieved 8,989 discharges (target: 8,357). We continue to adjust our delivery to balance the Standardised Intervention rate expectations with our population needs. In addition, no person was waiting more than five months to be seen.  Improved health status for people with a severe mental illness Mental health access rates and supporting measures continue to improve.  More people with end stage conditions are supported 654 patients received palliative care. Service delivery is in line with target of 662 patients, above base line of 635 patients. 11