Regional Data on Performance KPIs
Rodney Parsons made this Official Information request to Ministry of Health
Currently waiting for a response from Ministry of Health, they must respond promptly and normally no later than (details and exceptions).
From: Rodney Parsons
Dear Ministry of Health,
Recently the government outlined five key performance indicators of the health system, and included national data over the past decade or so. This was created from data obtained from the national admitted and non-admitted datasets, amongst others, which has the region and site in them. Please provide region and hospital-based data for these five KPIs over the same period.
Yours faithfully,
Rodney Parsons
From: OIA Requests
Tēnā koe Rodney,
Thank you for your request under the Official Information Act 1982 (the
Act) to the Ministry of Health (Manatū Hauora) on 20 October 2024.
The Ministry does not hold any information relating to your request;
however, I have been advised that this information is held by Health New
Zealand. For this reason, I have decided to transfer your request to their
agency under section 14(b)(i) of the Act. You can expect a response from
Health New Zealand ([1][email address]) in due course.
Under section 28(3) of the Act, you have the right to ask the Ombudsman to
review any decisions made under this request. The Ombudsman may be
contacted by email at: [2][email address] or by calling 0800
802 602.
Ngā mihi
OIA Services Team
Manatū Hauora | Ministry of Health
[3]Ministry of Health information releases
------------------- Original Message
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From: hnzOIA
Tēnā koe,
Thank you for contacting Health NZ, Te Whatu Ora. This is an automatic
reply to confirm that we have received your email. Depending on the
nature of your request you may not receive a response for up to 20 working
days. We will try to respond to your query as quickly as possible.
Ngā mihi
Health NZ, Te Whatu Ora.
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From: hnzOIA
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Kia ora Rodney
Thank you for your request for official information, received on 22
October 2024 for:
Recently the government outlined five key performance indicators of the
health system, and included national data over the past decade
or so. This was created from data obtained from the national admitted
and non-admitted datasets, amongst others, which has the region
and site in them. Please provide region and hospital-based data for
these five KPIs over the same period
In order to provide you with the information requested, could you please
clarify the information you are seeking. It is not clear what information
in particular you are after.
The Government announcement to which you refer is we believe, the March
2024 Government announcement of health targets for cancer treatment,
childhood immunisation, emergency departments and wait times for first
specialist assessments and elective treatment.
Can the first point of clarification be whether or not you are requesting
information about the health targets for cancer treatment, childhood
immunisation, emergency departments and wait times for first specialist
assessments and elective treatment?
Further information in what these targets are can be found on this
Ministry of Health webpage:
[1]https://www.health.govt.nz/statistics-re...
and in the Health New Zealand Health targets fact sheet that accompanies
this email. See Attachment 1. HNZ00069420 Health Target Performance 2014
to 2024.
In order to assess whether we can provide you with the information
requested, could you please refine the timeframe you are asking us to
consider? Ten years or so is not specific enough for us to consider
whether we can attempt to collate the information in a manner that is
feasible.
The data in Attachment 1 shows the performance of the system against the
targets for the 10 years to 2023/24. However, the system is not what you
have asked for. You have asked us to respond with region and
hospital-based data.
Health New Zealand was created from the amalgamation of 20 district health
boards (DHBs). Some of these health boards were aligned into regional
groupings for the delivery of certain services. It is not clear to us
whether you seek information on targets that may still be held by the
Health New Zealand areas that were once DHBs; or whether it is from those
that were once in regional groupings.
We are therefore also asking you to consider the scope of this part of
your request:
Please provide region and hospital-based data for these five KPIs
over the same period.
As it stands your request your request even once clarified. it is likely
to remain very broad and require substantial manual collation to locate
and prepare all the information within scope of your request. As such,
Health New Zealand may still refuse your request under section 18(f) of
the Act. Click or tap here to enter text.
We look forward to receiving your response.
Ngā mihi,
Mark Fenwick
Government Services
[2][email address]
Health New Zealand | Te Whatu Ora
Statement of confidentiality: This email message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege. If you are not the intended recipient, do not read, use,
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received this message in error, please notify the sender immediately and
delete this message
References
Visible links
1. https://www.health.govt.nz/statistics-re...
2. mailto:[email address]
From: Rodney Parsons
Dear Mark,
The system from which you gained the information used in those graphs is aggregated district/regional data. The same data is what is used and reported to the regions for the same KPIs at a local level. Those EDs have been reporting the same KPIs for over 20 years, with aggregation beginning somewhere around 2008 (or at least that's what's reflected in the IDI). What I'm asking is that you provide information on regional variation using the same system used then and now. I would be surprised if you're saying you were able to aggregate it at national level but not able to filter the data by region, though that would be worth knowing if it's the case- has there been a loss of information or mapping as a part of the reforms? Presumably COVID-mortality was assesses at this level and the same mappings could be used?
For the time period that you do have local/regional data available, it would be helpful to have the performance data available. I don't know that dates, so can't be more specific so if you could either use those or let me know the dates and I can advise.
Yours sincerely,
Rodney Parsons
From: Rodney Parsons
Dear hnzOIA,
Hi Mark,
To clarify, if you're saying my request remains too broad, please release local/regional data for the months following the KPIs being introduced.
Yours sincerely,
Rodney Parsons
From: hnzOIA
Kia ora Rodney
We asked in our clarification request whether or not your request could be
for information on the health targets for cancer treatment, childhood
immunisation, emergency departments and wait times for first specialist
assessments and elective treatment.
Neither of your emails of 21 November 2024 address that question.
I have considered whether fixing a charge for the supply of the
information or extending the timeframe for response would enable Health NZ
to respond. I do not consider that either option would remove the impact
that supplying the information would have on our other operations.
Your request is refused as it would require substantial manual collation
to locate and prepare all the information within scope of your request,
section 18(f) of the Act.
Ngā mihi,
Mark Fenwick
Government Services
[1][email address]
Health New Zealand | Te Whatu Ora
------------------- Original Message
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From: Rodney Parsons
Dear Mark,
Let us start this game. I requested that you to provide the numbers behind government targets. You've declined ostensibly and with discretion because even with charging me, you think it will be too big. My request was for all of these because in a democratic society, putting numbers out there is generally backed up by facts rather than speculation. It appears you aren't willing to provide those willingly, since your team of advisors would have explained exactly what I'm after.
I'll refer my concerns to the ombudsman but in the interim- seeing as HNZ is still responding to requests from 2007, where lawful orders have been made which you are refusing- let's refine the question and develop a paper trail of the lack of good faith and acting in the spirit of the OIA that your answer demonstrates.
To refine my question, to which of course no doubt you'll elect to restart the clock, please provide the data for the emergency department target, but relevant subcategories. Please provide copies of the email trail to my OIA request.
Yours sincerely,
Rodney Parsons
From: hnzOIA
Tēnā koe,
Thank you for contacting Health NZ, Te Whatu Ora. This is an automatic
reply to confirm that we have received your email. Depending on the
nature of your request you may not receive a response for up to 20 working
days. We will try to respond to your query as quickly as possible.
Ngā mihi
Health NZ, Te Whatu Ora.
Statement of confidentiality: This email message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege. If you are not the intended recipient, do not read, use,
disseminate, distribute or copy this message or attachments. If you have
received this message in error, please notify the sender immediately and
delete this message
From: hnzOIA
Kia ora Rodney
Thank you for your request for official information, received on 3
December 2024 for:
Let us start this game. I requested that you to provide the numbers behind
government targets. You've declined ostensibly and with discretion because
even with charging me, you think it will be too big. My request was for
all of these because in a democratic society, putting numbers out there is
generally backed up by facts rather than speculation. It appears you
aren't willing to provide those willingly, since your team of advisors
would have explained exactly what I'm after.
I'll refer my concerns to the ombudsman but in the interim- seeing as HNZ
is still responding to requests from 2007, where lawful orders have been
made which you are refusing - let's refine the question and develop a
paper trail of the lack of good faith and acting in the spirit of the OIA
that your answer demonstrates.
To refine my question, to which of course no doubt you'll elect to restart
the clock, please provide the data for the emergency department target,
but relevant subcategories. Please provide copies of the email trail to my
OIA request.
In order to provide you with the information requested, could you please
clarify the time period for which you seek the information, and could you
please also confirm that you seek information on the emergency department
target formally known as Shorter Days in ED?
Can you also please explain what relevant subcategories of information you
seek?
As noted in our correspondence regarding your request HNZ00069420, Health
New Zealand was created from the amalgamation of 20 district health boards
(DHBs). This may mean that the data you request would only be accessible
with substantial research and collation and if so, Health New Zealand will
have to consider if it is appropriate to proceed with your request as
clarified or as rescoped.
If this is the case would you consider us scoping data from emergency
departments from emergency department in the three large metropolitan
areas of Auckland (Te Toka Tumai Auckland, Captial Coast Hutt Valley and
Health New Zealand Waitaha (Christchurch)?
If substantial manual collation to locate and prepare all the information
within scope of your clarified request is required, it may be refused
section 18(f) of the Act.
Please note, under section 15 of the Official Information Act 1982, any
clarification or amendments made to a request within seven days after the
date it is received, that request may be treated as a new request and the
time limit for the response restarts.
We look forward to receiving your response.
Ngā mihi,
Mark Fenwick
Government Services
[1][email address]
Health New Zealand | Te Whatu Ora
Statement of confidentiality: This email message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege. If you are not the intended recipient, do not read, use,
disseminate, distribute or copy this message or attachments. If you have
received this message in error, please notify the sender immediately and
delete this message
References
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1. mailto:[email address]
From: Rodney Parsons
Dear hnzOIA,
The data in your publicly published national report, is what we are looking for. You already have it. Indeed, discussion with multiple teams across the country demonstrate that all of the data request are immediately available to you.
The shorter ED Stay target, as you say, is built by putting together the country's data. That what you have published in the performance target action plan, have already provided to the minister etc. When you break that data into its component pieces (which we have both seen and worked with the data ourselves, so know exists and is readily available), it breaks down into categories like regions and hospitals. These reports are already being provided by HNZ to the regions. All we are asking is that the data underlying that is provided. It's a small excel file.
If your insistence is that you're not providing that data to the regions and hospitals (which we know not to be true), provide an explanation of why not. If it's that you're not aware of that process, given that HNZ is one organisation, provide an explanation of that. If you think you don't have the data, confirm that you're willing for the ombudsman to fast-track reviewing why you aren't able to find the data, which would be pretty concerning given that it's formed one of the current government's key action plans.
Yours sincerely,
Rodney Parsons
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