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

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Mar 16, 2024 126 likes •210 views

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)

SLIDE 1

Women and Children

Healthcare Governance

Mortality Briefing

Agenda Item 7.2 Rob Wilson Medical Director Tony Roberts Clinical Effectiveness Advisor Jo Raine Clinical Effectiveness Analyst

SLIDE 2

Summary Hospital Level Mortality Indicator (SHMI)

South Tyneside Gateshead North Tees Sunderland Newcastle South Tees CDD Northumbria 0.2 0.4 0.6 0.8 1 1.2 1.4 500 1000 1500 2000 2500 3000 3500 4000 4500 5000 SHMI Expected deaths

SHMI with banding using 95% Control Limits and with adjustment for over-dispersion

Other SHA North East SHA 95% Lower Limit 95% Upper Limit

Source: Summary Hospital-level Mortality Indicator (SHMI) Data released by the HSCIC, January 2013

SLIDE 3

SHMI and Unadjusted Mortality

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SLIDE 4

HSMR and Palliative Care Coding

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0% 1% 2% 3% 4% 5% 20 40 60 80 100 120 140

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

Palliatiive care discharge rate (%) HSMR

HSMR and Palliative Care Coding Rate for South Tees

HSMR Palliative% Source: NEQOS Hospital Mortality Monitoring: Report 15 Data extracted from HED January 2013

SLIDE 5

SHMI Deaths by Deprivation Quintile

5

10 20 30 40 50 60 70 80 90 100

SHMI Deaths by Deprivation Quintile (July 2011 - June 2012)

Unknown Quintile 5 Quintile 4 Quintile 3 Quintile 2 Quintile 1

Source: Contextual indicators - Index of Material Deprivation Data released by the HSCIC, January 2013

1 = most deprived

SLIDE 6

SHMI by Diagnosis Group

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0.0 20.0 40.0 60.0 80.0 100.0 120.0 Cardiac Gut Other causes Other Medical Cancer Respiratory disease Injury Mental health

SHMI by Diagnosis Group Jul 2011 - Jun 2012

Source: NEQOS NHS North East Hospital Mortality Monitoring: Report 15. Data Extracted from HED, Jan 2013

SLIDE 7

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