Mortality Briefing Healthcare Governance Agenda Item 7.2 Rob - PowerPoint PPT Presentation

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Women and Children Mortality Briefing Healthcare Governance Agenda Item 7.2 Rob Wilson Medical Director Tony Roberts Clinical Effectiveness Advisor Jo Raine Clinical Effectiveness Analyst Summary Hospital Level Mortality Indicator (SHMI)

Women and Children Mortality Briefing Healthcare Governance Agenda Item 7.2 Rob Wilson Medical Director Tony Roberts Clinical Effectiveness Advisor Jo Raine Clinical Effectiveness Analyst
Summary Hospital Level Mortality Indicator (SHMI) SHMI with banding using 95% Control Limits and with adjustment for over-dispersion 1.4 1.2 South Tyneside North Tees Northumbria Gateshead CDD 1 South Tees Newcastle Sunderland 0.8 SHMI 0.6 0.4 0.2 0 0 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 Expected deaths Source: Summary Hospital-level Mortality Indicator (SHMI) Data released by the HSCIC, January 2013 Other SHA North East SHA 95% Lower Limit 95% Upper Limit
SHMI and Unadjusted Mortality 3
HSMR and Palliative Care Coding HSMR and Palliative Care Coding Rate for South Tees 140 5% 120 Palliatiive care discharge rate (%) 4% 100 80 3% HSMR 60 2% 40 1% 20 Source: NEQOS Hospital Mortality Monitoring: Report 15 Data extracted from HED January 2013 0 0% Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 2008/09 2008/09 2009/10 2009/10 2009/10 2009/10 2010/11 2010/11 2010/11 2010/11 2011/12 2011/12 2011/12 2011/12 2012/13 2012/13 HSMR Palliative% 4
SHMI Deaths by Deprivation Quintile SHMI Deaths by Deprivation Quintile (July 2011 - June 2012) 100 Unknown 90 80 Quintile 5 70 60 Quintile 4 50 Quintile 3 40 30 Quintile 2 20 10 Quintile 1 0 1 = most deprived Source: Contextual indicators - Index of Material Deprivation Data released by the HSCIC, January 2013 5
SHMI by Diagnosis Group SHMI by Diagnosis Group Jul 2011 - Jun 2012 Mental health Injury Respiratory disease Cancer Other Medical Other causes Gut Cardiac 0.0 20.0 40.0 60.0 80.0 100.0 120.0 Source: NEQOS NHS North East Hospital Mortality Monitoring: Report 15. Data Extracted from HED, Jan 2013 6
Discussion • Between June 2011 to July 2012, the Trust had an SHMI of 99, which compared favourably to other Trusts in the Region. • SHMI mirrors the unadjusted mortality rate which is broadly stable. • HSMR is similar to SHMI but is influenced by use of palliative care codes. • Deprivation levels are higher than those found in the five Trusts in England with persistently high SHMI, indicating good performance in the North East. • The SHMI for the Trust across all Diagnosis Groups is as expected or low (Cardiac). 7

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