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Bridge Health EUBIROD Network Meeting Nicosia, CYPRUS, Wed 20 th - Sat 23 rd September 2017 E U B I R O D c o n t r i b u t i o n s t o O E C D p r o j e c t s 2 0 1 7 : s t a n d a r d i z e d d

  1. Bridge Health EUBIROD Network Meeting Nicosia, CYPRUS, Wed 20 th - Sat 23 rd September 2017 E U B I R O D c o n t r i b u t i o n s t o O E C D p r o j e c t s 2 0 1 7 : s t a n d a r d i z e d d e f i n i t i o n s o f a mp u t a t i o n s a n d d i s t r i b u t e d a p p r o a c h t o g l o b a l h o s p i t a l p e r f o r ma n c e b e n c h ma r k i n g Fabrizio Carinci Visiting Professor, University of Surrey, UK Adjunct Professor of Biostatistics, University of Bologna, Italy f.carinci@surrey.ac.uk

  2. O E C D H e a l t h C a r e Q u a l i t y I n d i c a t o r s P r o j e c t  U n d e r t h e u m b r e l l a o f t h e O r g a n i s a t i o n f o r E c o n o m i c C o o p e r a t i o n a n d D e v e l o p m e n t ( O E C D ) , t h e ‘ H e a l t h C a r e Q u a l i t y I n d i c a t o r s ’ ( H C Q I ) P r o j e c t w a s i n i t i a t e d i n 2 0 0 1  T h e g e n e r a l o b j e c t i v e w a s t o h e l p M e m b e r S t a t e s ( M S ) i d e n t i f y p r i o r i t y a r e a s f o r q u a l i t y i mp r o v e me n t t o p r o v i d e a c h i e v a b l e s t a n d a r d s b y e x a m i n i n g r e s u l t s a m o n g b e s t p e r f o r m i n g c o u n t r i e s  I n 2 0 0 6 , t h e O E C D r e l e a s e d a c o mmo n c o n c e p t u a l f r a me w o r k f o r h e a l t h s y s t e m p e r f o r ma n c e . N e s t e d “ q u a l i t y m a t r i x ” w i t h v e r t i c a l d i me n s i o n s o f ‘ e f f e c t i v e n e s s ’ , ‘ p a t i e n t s a f e t y ’ a n d ‘ r e s p o n s i v e n e s s / p a t i e n t - c e n t e r e d n e s s ' , h o r i z o n t a l l y s u b d i v i d e d a c c o r d i n g t o l e v e l s o f h e a l t h c a r e n e e d s o v e r t h e l i f e c y c l e : ‘ s t a y i n g h e a l t h y ’ f o r h e a l t h y s u b j e c t s , ‘ g e t t i n g b e t t e r ’ f o r p e o p l e a f f e c t e d b y a d i s e a s e , ‘ l i v i n g w i t h i l l n e s s o r d i s a b i l i t y ’ f o r t h o s e w i t h a c h r o n i c c o n d i t i o n a n d ‘ c o p i n g w i t h e n d o f l i f e ’ f o r t e r m i n a l p a t i e n t s . 2 F a b r i z i o C a r i n c i

  3. C a r i n g f o r q u a l i t y i n h e a l t h , O E C D 2 0 1 7 h t t p s : / / w w w . o e c d . o r g / e l s / h e a l t h - s y s t e m s / C a r i n g - f o r - Q u a l i t y - i n - H e a l t h - F i n a l - r e p o r t . p d f 3 F a b r i z i o C a r i n c i

  4. G u i d e l i n e s f o r L o w e r A m p u t a t i o n s i n D i a b e t e s , O E C D 2 0 1 3 4 F a b r i z i o C a r i n c i

  5. 5 F a b r i z i o C a r i n c i

  6. R o o m M a t e r i a l , H C Q I 2 0 1 4 6 F a b r i z i o C a r i n c i

  7. G u i d e l i n e s f o r L o w e r A m p u t a t i o n s i n D i a b e t e s , O E C D 2 0 1 5 7 F a b r i z i o C a r i n c i

  8. O E C D H e a l t h C a r e Q u a l i t y I n d i c a t o r s 2 0 1 5 R e s u l t s o f L o w e r E x t r e m i t y A m p u t a t i o n R a t e s i n D i a b e t e s S t a n d a r d i z e d R a t e s b y C o u n t r y ( A g e ≥ 1 5 y r s ) , Y e a r 2 0 1 3 o r l a s t y e a r a v a i l a b l e 8 F a b r i z i o C a r i n c i

  9. O E C D H e a l t h C a r e Q u a l i t y I n d i c a t o r s 2 0 1 5 R e s u l t s o f L o w e r E x t r e m i t y A m p u t a t i o n R a t e s i n D i a b e t e s S t a n d a r d i z e d R a t e s b y C o u n t r y ( A g e ≥ 1 5 y r s ) , Y e a r 2 0 1 3 o r l a s t y e a r a v a i l a b l e 9 F a b r i z i o C a r i n c i

  10. L o w e r e x t r e m i t y a m p u t a t i o n s i n d i a b e t e s : r e s u l t s o f M u l t i v a r i a t e M o d e l l i n g ( G e n e r a l i z e d E s t i m a t i n g E q u a t i o n s ) , O E C D 2 0 0 0 - 2 0 1 3 10 F a b r i z i o C a r i n c i

  11. L o w e r e x t r e m i t y a m p u t a t i o n s i n d i a b e t e s , 2 0 1 5 S o u r c e : O E C D H e a l t h a t a G l a n c e 2 0 1 7 11 F a b r i z i o C a r i n c i

  12. O E C D H C Q I P r o j e c t o n H o s p i t a l P e r f o r m a n c e B e n c h m a r k i n g ( h t t p : / / w w w . o e c d . o r g / h e a l t h / h e a l t h - s y s t e m s / h e a l t h - m e e t i n g s - p r e s e n t a t i o n s . h t m) 12 F a b r i z i o C a r i n c i

  13. O E C D H C Q I P r o j e c t o n H o s p i t a l P e r f o r m a n c e B e n c h m a r k i n g ( h t t p : / / w w w . o e c d . o r g / h e a l t h / h e a l t h - s y s t e m s / h e a l t h - m e e t i n g s - p r e s e n t a t i o n s . h t m ) 13 F a b r i z i o C a r i n c i

  14. O E C D H C Q I P r o j e c t o n H o s p i t a l P e r f o r m a n c e B e n c h m a r k i n g ( h t t p : / / w w w . o e c d . o r g / h e a l t h / h e a l t h - s y s t e m s / h e a l t h - m e e t i n g s - p r e s e n t a t i o n s . h t m ) 14 F a b r i z i o C a r i n c i

  15. O E C D H C Q I P r o j e c t o n H o s p i t a l P e r f o r m a n c e B e n c h m a r k i n g ( h t t p : / / w w w . o e c d . o r g / h e a l t h / h e a l t h - s y s t e m s / h e a l t h - m e e t i n g s - p r e s e n t a t i o n s . h t m ) 15 F a b r i z i o C a r i n c i

  16. P r o g r e s s r e p o r t o n H o s p i t a l P e r f o r m a n c e R e p o r t i n g , O E C D 2 0 1 7 “ T h e O E C D h a s b e n e f i t t e d e n o r m o u s l y f r o m t h e g r o u n d b r e a k i n g w o r k o f e x i s t i n g i n t e r n a t i o n a l p r o g r a m s s u c h a s E u r o H O P E , E C H O a n d E U B I R O D , b o t h i n t e r ms o f me t h o d o l o g i c a l d e v e l o p me n t a n d d a t a c o l l e c t i o n p r o c e s s e s . Wh i l e t h e O E C D a p p r o a c h h a s d r a w n e x t e n s i v e l y f r o m t h e t e c h n i c a l s p e c i f i c a t i o n s u t i l i s e d i n t h e s e p r o g r a m , s o m e v a r i a t i o n s r e m a i n . B y c o m p a r i n g a n d c o n t r a s t i n g t h e s e a p p r o a c h e s , w o r k i s p r o g r e s s i n g c o l l a b o r a t i v e l y t o b r i n g a b o u t g r e a t e r h a r m o n i s a t i o n ” 16 F a b r i z i o C a r i n c i

  17. T h i r t y - d a y m o r t a l i t y a f t e r a d m i s s i o n t o h o s p i t a l f o r A M I b a s e d o n p a t i e n t d a t a , 2 0 1 3 - 2 0 1 5 ( o r n e a r e s t y e a r s ) O E C D H e a l t h a t a G l a n c e , 2 0 1 7 17 F a b r i z i o C a r i n c i

  18. T h i r t y - d a y m o r t a l i t y a f t e r a d m i s s i o n t o h o s p i t a l f o r A M I b a s e d o n p a t i e n t d a t a , 2 0 1 3 - 2 0 1 5 ( o r n e a r e s t y e a r s ) , O E C D H e a l t h a t a G l a n c e , 2 0 1 7 18 F a b r i z i o C a r i n c i

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