skip to navigation | skip to content



Programs Chartbook - Quality of Healthcare in NSW

Chartbook - Quality of Healthcare in NSW

The Chartbook is designed to stimulate both discussion and action across the system that will lead to improvements in the quality and safety of health services. The Chartbook is not a scorecard, nor does not include information on adverse events, which are presented in detail in other CEC and NSW Health publications.

The CEC produces The Chartbook annually as a quality improvement monitoring tool to monitor and respond to changes in key areas of safety and quality.


Program Overview

What is it?

The Chartbook is:

  • a tool for measuring and reporting safety and quality in the NSW health system at a State and local health district (LHD) level
  • a key resource to drive change within the NSW health system
  • a plain-English overview of the state of knowledge of the quality of healthcare services in NSW, designed for use by clinicians, but importantly, available to public and non-specialist audiences and
  • a source of relevant information for LHDs and clinical governance units, in both tabular and graphical format, with accompanying text that will interpret the findings, discuss their importance and evaluate their implications.

How it is used

The CEC expects The Chartbook will be used by different groups in different ways:

  • by clinicians (looking at speciality-related data)
  • by members of the public (looking at the relative performance of the health system across 63 charts and 13 clinical specialities)
  • by members of the LHD executive/clinical governance units (looking at district comparators, getting a broad understanding of their LHD's relative performance and an understanding of where to target future improvement activities)
  • by academics and health system commentators (to provide a broad overview of the issues underlying quality health service delivery in NSW).

The Chartbook reports on the population of each local health district. Most charts show a five-year trend, with 95 per cent confidence intervals. In attempting to draw comparisons, care must be taken to consider other population variables.

The Chartbook demonstrates that the NSW health system is doing a number of things well, e.g., a significant sustained reduction in asthma admission rates, following the introduction of the State Asthma Plan in 2001, and that the rate of live term births with a low APGAR (viability) score is declining.

The Chartbook also highlights areas in which we can concentrate our efforts, e.g., increasing need for treatment of diabetes across most of NSW and areas that require further investigation. An example is the difference in hysterectomy rates between urban and rural areas for women under 35, that may indicate differences in practice.

The Chartbook is produced annually and is available as a matter of course on the CEC's website. Expert input has been sought and received on all indicators.

The Chartbook is a tool to drive change - to facilitate self-examination by clinicians and managers of our health care system. Its real value is that it allows us to monitor quality improvement initiatives over time and keep our eyes firmly focused on those areas where the greatest quality gains are to be made.

Resources

Chartbook 2010

The CEC released the fourth edition of The Chartbook on Safety and Quality in Healthcare in NSW 2010 on 9 July 2012.

Chartbook 2010 includes a new chapter on cancer services (surgical volumes) and expands certain existing indicators (e.g., population health, ambulance services, Aboriginal health and CEC initiatives in safety and quality). New presentation formats have also been introduced.

Prof Cliff Hughes, CEO of the CEC, said one of the most satisfying realisations with the release of the year's Chartbook was the involvement of other key agencies, such as the Agency for Clinical Innovation and Cancer Institute NSW. They and many other clinicians use the data to inform their efforts to improve health care in NSW.

"We are now seeing colleagues using findings from previous Chartbooks to focus their efforts to achieve sustained improvements in patient care," Prof Hughes said. "The real value of The Chartbook is that it's an ongoing program. This allows us to identify unexplained variation, areas where improvements are most needed and where the greatest quality gains are to be made."

  • Chartbook on Safety and Quality in Healthcare in NSW 2010 - PDF ~1.94mb

Chartbook 2009 - Errata published

The CEC released the third edition of Chartbook on Safety and Quality in Healthcare in NSW 2009 (The Chartbook 2009) on 16 December 2010. It continues the series' aims to make the NSW health system better and safer for patients. It assists health services and health professionals to identify issues and stimulate action across the health system that will lead to continued improvements in the quality and safety of health services. Importantly, it is also aimed at the people we serve - to inform them about safety and quality issues, how these are changing over time and the importance and implications of these changes.

This edition of The Chartbook continues to provide an expert-informed overview of key safety and quality issues and trends in the NSW public health system. Along with other recently released reports, it confirms that NSW residents have access to an excellent health care system. It provides analysis and commentary on a broad range of indicators of safety and quality. It shows where the health system is doing well, but also highlights areas for improvement. This year, Chartbook 2009 includes two new chapters on patient experience and cancer services (incidence and mortality). It expands certain existing indicators (e.g., population health, mental health services, ambulance services, Aboriginal health and CEC initiatives in safety and quality). New presentation formats have also been introduced.

Prof Cliff Hughes, CEO of the CEC, said "The clinical leaders in the area health services have attested to its value and the CEC has started preparing a fourth edition, continuing the process of reviewing existing indicators, adding new ones and providing new and additional views of the data."

  • Chartbook on Safety and Quality in Healthcare in NSW 2009 - (Ver 2: Errata of Mon 12 Nov 2012) - PDF ~1.77mb

Chartbook 2008

The CEC released the Chartbook on Safety and Quality in Health Care in NSW 2008 (The Chartbook) on March 31 2010. This second edition provides analysis and commentary on a broad range of indicators of safety and quality. It shows where the health system is doing well, but also highlights areas for improvement. This year, The Chartbook includes new chapters on Aboriginal health, neonatal intensive care, ambulance services and indicators of safety and quality.

It is aimed at health services and health professionals to enable them to identify and take up opportunities for improvement and to make the NSW health system better and safer for patients. Importantly, it also informs the people of NSW about safety and quality issues and how these are changing over time.

Prof Cliff Hughes, CEO of the CEC said "The team has started preparing the third edition, continuing the process of adding new indicators, reviewing existing indicators and providing new and additional views of the data. The real value of a tool such as The Chartbook is that it allows us to monitor quality improvement initiatives over time and keep our eyes firmly focused on those areas where the greatest quality gains are to be made."

  • Chartbook on Safety and Quality in Health Care in NSW 2008 - PDF ~1.5mb
  • Chartbook 2008 Vol. 2: Statistical Methods and Technical Appendix - PDF ~873kb

Chartbook 2007

The Clinical Excellence Commission is pleased to release Quality of Healthcare in NSW: A Chartbook 2007. The Chartbook aims to make the NSW health system better and safer for patients.

Chartbook users please note that errata have been published. A revised edition is available which incorporates the changes. For those with printed copies of Chartbook 2007, please print the errata page and keep it with the document.

The CEC Chartbook and additional materials can be downloaded here:

  • Quality of Healthcare in NSW: A Chartbook 2007 (Revised Edition) - PDF ~1.0mb
  • Chartbook 2007 Errata - PDF ~36kb
  • How to use The Chartbook - PDF ~24kb
  • Chartbook 2007 Vol. 2: Statistical Methods and Technical Appendix - PDF ~262kb

Contact

Copies of The Chartbook are available from:

Clinical Excellence Commission
Level 17, McKell Building
2-24 Rawson Place
Sydney NSW 2000

Tel: (02) 9269 5500
Fax: (02) 9269 5599

cec-chartbook@cec.health.nsw.gov.au