dutch health care inspectorate and public reporting of the hsmr n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Dutch Health Care Inspectorate and public reporting of the HSMR PowerPoint Presentation
Download Presentation
Dutch Health Care Inspectorate and public reporting of the HSMR

Loading in 2 Seconds...

play fullscreen
1 / 11

Dutch Health Care Inspectorate and public reporting of the HSMR - PowerPoint PPT Presentation


  • 199 Views
  • Uploaded on

Dutch Health Care Inspectorate and public reporting of the HSMR. The Dutch Safety Campaign promise 50 % reduction avoidable deaths. Dutch Patient safety Campaign. Dutch hospitals, the medical, nursing and consumers associations presented the campaign and develop the necessary interventions

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Dutch Health Care Inspectorate and public reporting of the HSMR' - lotus


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide2
The Dutch Safety Campaign

promise

50 % reduction avoidable deaths

dutch patient safety campaign
Dutch Patient safety Campaign
  • Dutch hospitals, the medical, nursing and consumers associations presented the campaign and develop the necessary interventions
  • Minister of Health finances the campaign
  • Health Care Inspectorate supervises the implementation of interventions and the effect of the campaign
how to measure decrease of avoidable death
How to measure decrease of avoidable death

HSMR seems promising

  • Correction for patient factors like age, urgency and diagnosis
    • Diagnosis (50 groups, contributing to 80% of hospital deaths)
  • Uses standard registration of medical data
    • No increase of administrative burden
how to measure decrease of avoidable death1
How to measure decrease of avoidable death
  • HSMR seems promising
  • But the contribution of avoidable occurrences in hospital deaths is very small*

*Martine de Bruyne

hsmr questions
HSMR questions
  • Is the inclusion of 50 diagnose groups sufficient
  • Full correction for patient characteristics is impossible, but is HSMR correction sufficient?
  • Is the registration of data complete and reliable?
comparability of hospitals
Comparability of hospitals

University hospitals

< 80% deaths in included diagnose groups

e.g. perinatal deaths

rare diseases

Teaching hospitals (STZ)

>80% deaths in included diagnose groups

Small rural hospitals

< 50 diagnose groups

comparability within diagnose groups
Correction for diagnose group does not take into account that severity of disease in one diagnose group may vary widely

Geelkerken et al. Medisch Contact 2008:9;370-374.

Van den Bosch et al. Ned Tijdschr Geneeskd. 2008;152:….

Comparability within diagnose groups
incomplete data
Incomplete data
  • LMR is no longer mandatory
  • Some sections are incomplete e.g.
    • Urgency (no ER, so no urgent admittance?)
  • Some data are incomprehensible e.g.
    • other / miscellaneous
conclusions h smr
Conclusions(H)SMR
  • Can be used to monitor hospital mortality at a national level
  • Can not be used to monitor preventable deaths
  • Can not (yet) be used to compare hospital mortality in public
  • Can be used by hospitals to monitor their own hospital mortality in time, between departments and in different diagnose groups in order to improve patient safety
slide11
It

is

the

result

that

counts