[EQ] New Approach for Measuring Hospital Mortality Trends in Canada

HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada

 

The Canadian Institute for Health Information (CIHI)

 

Available online PDF file [113p.] at:
http://secure.cihi.ca/cihiweb/products/HSMR_hospital_mortality_trends_in_canada.pdf

 

Website: http://secure.cihi.ca/

 

“….From vaccinations and pain medication to emergency care for heart attacks or injuries, many types of health care have been shown to save lives and improve quality of life. While the best intentions and superb care will not prevent all deaths or suffering, health care providers are committed to improving care and outcomes for their patients. To do so, they need good information. Experts suggest that measurement helps to prompt effective action to improve health care quality and safety, just as monitoring a patient’s vital signs helps to inform patient care plans.

Different measures are needed at different levels. Boards and senior teams tend to focus on what are sometimes called “big dot” measures. These measures track progress on broad outcomes at a system level. Hospital standardized mortality ratios (HSMRs) are one example. First developed in England, health care providers in a number of countries now use HSMR results to inform efforts to improve care.

 

The measure compares the actual number of deaths in a hospital with the average experience. The comparisons take into account the age, sex and main diagnosis of patients, as well as other factors that may affect in-hospital mortality rates…..”

 

Table of Contents

Overview

Introduction

Measuring Mortality

Who Is—And Is Not—Most Likely to Die in Hospital?

From Measurement to Action

Next Steps

References

 

 

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