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18 yeas A STORY A french citizen has more information on his - - PowerPoint PPT Presentation
18 yeas A STORY A french citizen has more information on his - - PowerPoint PPT Presentation
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
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« 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
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50 000 issues sold
(mean/ kisok sales)
« Hospital black list » 310 000 issues vendus 50 000 issues sold
(mean/ kisok sales)
« Hospital black list » 310 000 issues vendus
450 reports from Health Insurance 450 reports from Health Insurance 3 journalists, of which 2 doctorss 3 journalists, of which 2 doctorss 1500 questionnaires 1500 questionnaires 18 months of work 18 months of work
A STORY
1997 : 1997 :
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A STORY
77 maternity units (wards or hospitals) to close or « allocated » to another use High mortality rate for mothers 1000 babys to save Césarian sections » à la chaîne »
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A STORY
1/3 of public hospitals were not conforming to the regulations aiming to ensure the safety of patients having anaesthesia
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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
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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
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1st private clinics ranking 1st private clinics ranking 1st maternity clinics ranking 1st maternity clinics ranking
A STORY
2000 : 2000 :
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In 1997 :
4 sectors were analysed
Today :
64 medical specialties analysed, including activities such as psychiatry, depression et schizophrenia SInce 2001, the same team of journalists publshes an annual ranking
- f hospitals and private clinics in the
weekly magasine Le Point. PMSI (Health Infoirmation Ssystem in French hospitals) Questionnaire
METHODOLOGY
Two sources
Success always there 1st in sales of the weekly du Point
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The simpler rankings are based on figures from the PMSI, sourced through ATIH after authorisation from CNIL the national data protection authority The simpler rankings are based on figures from the PMSI, sourced through ATIH after authorisation from CNIL the national data protection authority
Notoriety Notoriety Average length of stay Average length of stay Activity Activity
PMSI : Classic indicators
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PMSI : ADDITIONAL/ NEW CRITERIA
Level of ambulatory care Level of ambulatory care Severity index Severity index Types of surgical Interventions Types of surgical Interventions For other rankings we add technical criteria : For other rankings we add technical criteria :
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AN ANNUAL QUESTIONNAIRE
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AN ANNUAL QUESTIONNAIRE
Indicators
- n resources,
human or technical as an indication of quality and/or de security Indicators
- n resources,
human or technical as an indication of quality and/or de security
Neuro-vascular unit Neuro-vascular unit ICU ICU Chemotherapy, radiotherapy Chemotherapy, radiotherapy USIC USIC
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Alternative therapeutic patheways proposed or not in the hospital : Alternative therapeutic patheways proposed or not in the hospital :
AN ANNUAL QUESTIONNAIRE
Prostate Curiethérapie Prostate Curiethérapie High intensity ultra-sounds High intensity ultra-sounds
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Mortality rates For rankings such as cardiac surgery, vascular surgery, colon, rectum, ou thoracic surgery, we indicate : Mortality rates For rankings such as cardiac surgery, vascular surgery, colon, rectum, ou thoracic surgery, we indicate : Declared mortality rates Declared mortality rates «RMM data» periodic reviews on mortality «RMM data» periodic reviews on mortality
AN ANNUAL QUESTIONNAIRE
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PSYCHIATRY
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PSYCHIATRY
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PSYCHIATRY
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Complication rates Mortality rates Readmission rates Survival or success rates Infection rates Certified (and not declared) indicators 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
WHAT WE STILL NEED TO DEVELOP
Improve information Spread information
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