HSPITAL RANKING 18 yeas
A STORY « A french citizen has more information on his video, his car or his micro-wave than on the hospital where he will go to seek care » Gilles Johanet, 1997 Directorr, National Health insurance Fund for salaried workers
A STORY 1997 : 1997 : 50 000 issues sold 50 000 issues sold (mean/ kisok sales) (mean/ kisok sales) « Hospital black list » « Hospital black list » 310 000 issues vendus 310 000 issues vendus 3 journalists, of which 2 doctorss 3 journalists, of which 2 doctorss 18 months of work 18 months of work 450 reports from Health Insurance 450 reports from Health Insurance 1500 questionnaires 1500 questionnaires
A STORY High mortality rate for mothers 1000 babys to save C ésarian sections » à la chaîne » 77 maternity units (wards or hospitals) to close or « allocated » to another use
A STORY 1/3 of public hospitals were not conforming to the regulations aiming to ensure the safety of patients having anaesthesia
A STORY 225 Public or private hospitals needed to close down or restructure their surgery wards/ activities because of low levels of activity/ utilisation rates
A STORY Important variations in mortality In surgery, lower mortality rates in the University hospitals than in other hospitals Lower activity rates equal higher mortality rates
A STORY 2000 : 2000 : 1st 1st private private clinics clinics ranking ranking 1st 1st maternity maternity clinics clinics ranking ranking
METHODOLOGY SInce 2001, the same team of journalists publshes an annual ranking of hospitals and private clinics in the weekly magasine Le Point . In 1997 : 4 sectors were analysed Today : 64 medical specialties analysed, including activities such as psychiatry, depression et schizophrenia Success always there 1 st in sales of the weekly du Point Two sources PMSI (Health Infoirmation Ssystem in French hospitals) Questionnaire
PMSI : Classic indicators The simpler rankings The simpler rankings are based on figures are based on figures from the PMSI , sourced through from the PMSI , sourced through ATIH after authorisation ATIH after authorisation from CNIL from CNIL the national data protection authority the national data protection authority Activity Activity Notoriety Notoriety Average length of stay Average length of stay
PMSI : ADDITIONAL/ NEW CRITERIA For other rankings For other rankings we add technical criteria : we add technical criteria : Types of surgical Types of surgical Interventions Interventions Level of ambulatory care Level of ambulatory care Severity index Severity index
AN ANNUAL QUESTIONNAIRE
AN ANNUAL QUESTIONNAIRE Indicators Indicators on resources, on resources, human or technical human or technical as an indication of quality as an indication of quality and/or de security and/or de security Neuro-vascular unit Neuro-vascular unit USIC USIC ICU ICU Chemotherapy, radiotherapy Chemotherapy, radiotherapy
AN ANNUAL QUESTIONNAIRE Alternative Alternative therapeutic patheways therapeutic patheways proposed or not proposed or not in the hospital : in the hospital : High intensity ultra-sounds High intensity ultra-sounds Prostate Curiethérapie Prostate Curiethérapie
AN ANNUAL QUESTIONNAIRE Mortality rates Mortality rates For rankings such as For rankings such as cardiac surgery, vascular cardiac surgery, vascular surgery, colon, rectum , ou surgery, colon, rectum , ou thoracic surgery , we indicate : thoracic surgery , we indicate : Declared mortality rates Declared mortality rates «RMM data» periodic «RMM data» periodic reviews on mortality reviews on mortality
PSYCHIATRY
PSYCHIATRY
PSYCHIATRY
WHAT WE STILL NEED TO DEVELOP Improve information Certified (and not declared) indicators Complication rates Mortality rates Readmission rates S urvival or success rates Infection rates Spread information A unique Internet site both for the public and the professionals To bring together the available information gathered on all of the 1400 public and private hospitals
MERCI DE VOTRE ATTENTION Contactez-nous : Jérome Vincent jvincent@lepoint.fr François Malye fmalye@lepoint.fr
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