Navigation Links
New hospital mortality rate index to be used across UK
Date:6/9/2011

A team from the University of Sheffield's School of Health and Related Research (ScHARR) has developed a new index to measure hospital mortality rates that has been accepted for use by the Department of Health.

Led by Professor Michael Campbell, the team, including Drs Richard Jacques and James Fotheringham, were commissioned in January 2011 by the Department of Health to develop and test a new index to look at deaths following a hospital admission. In the past this has mainly been done by a company called Dr Foster, which produced the Hospital Standardised Mortality Ratio (HSMR). This index identified Mid Staffordshire NHS Foundation Trust Hospital as a failing hospital in March 2009, prompting a public inquiry after its failings were widely publicised.

As part of a package of measures being introduced to prevent such cases, the Department of Health wanted to look at a new indicator that could identify failings sooner. They also wanted an index based on deaths in hospital and 30 days after discharge, to try and discourage hospitals from discharging dying patients to improve their statistics.

A report from the Steering Group for the National Review of the Hospital Standardised Mortality Ratio (NHS Information Centre for Health and Social Care, Whalley, 2010) states: "Hospital mortality rates have been used in parts of the NHS for a number of years. There has however been no consistency in how they should and indeed should not be used. Recently, the way they have been used has been the subject of controversy, to the extent that doubts have been voiced about the NHS's openness or otherwise to national and local scrutiny concerning mortality rates.

"This has eroded public confidence. The NHS now operates rightly in line with very high public expectations for openness, transparency and accountability. This means that the use of indicators comparing expected and observed trends in a range of NHS activity, and especially regarding mortality, is a permanent and important part of the landscape."

The team was given records of all admissions to hospital in England for five years (92 million records) and linked deaths from the Office of National Statistics. In 10 weeks they produced a new index, the Summary Hospital Mortality Index (SHMI) based on the age, sex, method of admission and comorbidity of the patient. This has now been accepted by the Department of Health and will be used throughout England as part of a package to identify failing hospitals.

Professor Campbell highlighted a number major benefits of the new index, namely:

  • The SHMI is a single system where previously there have been several,
  • The SHMI is relatively simple,
  • SHMI will publish data quarterly rather than annually,
  • It will be implemented by the Department of Health instead of a private company.

Professor Campbell said: "This new index is a single, transparent indicator that will be used throughout NHS. It includes deaths that occur 30 days after discharge and so tries to remove the incentive of hospitals discharging dying patients to improve their mortality data.

"It will be published quarterly to allow better real-time monitoring at a local and national level. Attached will be explanations for healthcare professionals and the public on interpreting the measure, and it will be accessible to patients and the public on NHS Choices. It will not be used in isolation, but will be used with companion indicators and other supporting information."

Professor Campbell explained that the SHMI also provides the opportunity to spot failings sooner and therefore improve conditions and care for patients, saying: "Due to plans to publish the measure quarterly, hospitals will be able to monitor their overall performance in a timelier manner. There is the capacity for hospitals to be alerted to failings more rapidly than the existing annual report."


'/>"/>

Contact: Amy Stone
a.f.stone@sheffield.ac.uk
01-142-221-046
University of Sheffield
Source:Eurekalert

Related medicine news :

1. The private sale of drugs in public hospitals
2. Minnesota Department of Health Report: Nearly 6,000 Hospitalizations for COPD in 2007
3. Bariatricfurnishings.com Launches Unique Eco-friendly Seating for Health Care, Hospitality, Assisted Living Centers, and Home Use at Competitive Prices
4. Scott & White Memorial Hospital uses device to revolutionize treatment of traumatic aortic injury
5. Most pandemic plans in Ontario hospitals have not been tested: Queens University study
6. American Heart Association Comment on Hospitalization of President Bill Clinton
7. Allegheny General Hospital Study Demonstrates Safety and Potential Efficacy of Oral Allergy Treatment
8. SHARECOR Partners With Quantros, Inc. to Facilitate Core Measures and Regulatory Reporting in Louisiana Hospitals
9. Kaiser Foundation Health Plan and Hospitals Report Fourth Quarter and Fiscal Year 2009 Financial Results
10. Father Channels His Grief into Advocacy, Promotes Simple Actions to Make Hospitals Safer for Children
11. Catholic Health East and BayCare Health System Pledge $200,000 to Rebuild Hospital in Port-Au-Prince
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... December 02, 2016 , ... With the number of pain management programs ... patients must find the one that works for them. When an inventor from Suisun ... that worked and decided to share it with others. , He developed a prototype ...
(Date:12/2/2016)... ... December 02, 2016 , ... Dr. Raffi Hovsepian, a leading ... the 2016 “Guide to America’s Top Plastic Surgeons” for seven consecutive years. The ... education, experience, and professional associations. , One the most frequently honored surgeons ...
(Date:12/2/2016)... ... 2016 , ... Mediaplanet is proud to announce the launch ... innovative treatments, therapeutic technologies, and revolutionized nutrition that are helping patients and physicians ... years in the last 3 decades,” says Dr. Valentine Fuster, a world-renowned cardiologist. ...
(Date:12/2/2016)... ... December 02, 2016 , ... The PAINWeekEnd Regional Conference will ... Spa in Honolulu, offering local frontline clinicians the opportunity to extend their certified ... demand for supplemental training related to pain management has surged dramatically in recent ...
(Date:12/2/2016)... ... December 02, 2016 , ... Sourced from the Isbre Springs beneath the 5,000 ... unmatched natural purity of just 6 ppm TDS (Total Dissolved Solids) in addition to ... been available in several ShopRite and FoodTown stores in NJ and received rave comments ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... -- Lianluo Smart Limited (Nasdaq: LLIT ... markets and sells medical devices and wearable sleep ... and international markets, recently attended the 2016 Guangdong ... Forum, co-hosted by the Institute of Interventional Cardiology ... Provincial People,s Hospital and Cardiology Department of Guangdong ...
(Date:12/2/2016)... Dec. 1, 2016 The concept of rare diseases ... given to this sector has been taking shape in ... the political aspects and initiatives related to orphan medicinal products ... the level of member states individually. Many member states in ... the space of orphan medicinal products, the result of which ...
(Date:12/2/2016)... Dec. 2, 2016 Allergan plc (NYSE: ... information on its previously announced Accelerated Share Repurchase (ASR) Program. ... ... As previously announced, the Company entered into a ... the Company will repurchase $10 billion of its ordinary shares. ...
Breaking Medicine Technology: