TORONTO, Dec. 10 /CNW/ - Humber River Regional Hospital embraces the
concept that patients deserve transparency and accountability from their
public institutions. Our hospital's participation in the recent Canadian
Institute for Health Information (CIHI) Hospital Standardized Mortality Rate
(HSMR) Report reflects that commitment.
The hospital is also committed to reporting data accurately, ensuring the
information presented is valid. When the hospital reviewed the preliminary
HSMR report, it notified CIHI that it had identified a serious
misunderstanding about technical differences in coding between the CIHI
standard and the charting language used by HRRH. Humber River immediately
developed a plan to capture its information in line with CIHI standards.
This misunderstanding was especially evident in the data related to
end-of-life care (palliative and Do Not Resuscitate - DNR) patients. As a
result of this technical discrepancy, a very large number of hospital patients
had been incorrectly submitted to CIHI as unexpected deaths when in fact that
was not the case.
The coding discrepancies were serious enough that to release the data as
presented in the preliminary report would be misleading. CIHI, which collects
the data, allowed hospitals the option of whether they would participate in
the public release. Humber River recommended this course of action to CIHI,
and CIHI agreed not to report the data. There was subsequent public interest
in knowing this information with an explanation as presented above. So in that
spirit Humber River has decided to release its information.
The CIHI report data for Humber River indicated a score for HSMR All
Cases of 129 for 04/05; 129 for 05/06 and 136 for 06/07. Humber River takes
this seriously and has an action plan in place to address these coding issues.
Preliminary results for the first six months of 07/08 show that our plan is
producing significant improvement in data quality.
For further information:
For further information: Gerard Power, Director, Public & Corporate
Communications, (416) 243-4448, firstname.lastname@example.org