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A new interactive website produced by the Canadian Institute of Health Information will allow patients to compare how their local hospitals are performing on different measures of patient care. These include in-hospital death rates after major surgery, acute heart attack and stroke; re-admissions following hip or knee replacement; and even the incidence of bed sores, falls and other "nursing-sensitive adverse events." The web-based tool — the first of its kind in Canada — covers more than 600 acute care hospitals across the country and four years worth of data, and while the results show that hospitals nationwide are reporting fewer deaths after major surgery, heart attack and stroke than in 2007, and fewer re-admissions, their performance varies widely. For example, among large community hospitals, mortality rates within five days of major surgery ranged from 2.2 per 1,000 at Winnipeg's Concordia Hospital to 16.5 per 1,000 at the University Hospital of Northern B.C. in Prince George — an almost eight-fold difference. The national overall re-admission rate — which measures the rate of unplanned re-admission within 30 days after discharge — ranged from one per cent to 18.5 per cent. The national average was 8.4 per cent. This is the first time this level of information is being made available to Canadians — a move CIHI says "increases the accountability and transparency of the health-care system, full stop," said Kira Leeb, director of health system performance. Canada's health system is taxpayer-funded, "and it's important that Canadians know the information and know what care is being provided," she said.
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New CIHI online resource shows hospital performance improving
April 4, 2012—A new resource at
www.cihi.ca that looks at clinical and financial performance in acute care hospitals shows that hospitals saw fewer deaths after major surgery, heart attack and stroke; fewer readmissions after heart attack, stroke, and hip and knee surgery; and fewer cases of in-hospital hip fracture in 2010 than in 2007.This resource, a part of the Canadian Hospital Reporting Project at the
Canadian Institute for Health Information (CIHI), provides a series of 21 clinical indicators (with risk-adjusted rates) and 9 financial indicators that allows hospitals to compare their performance against those of their peers and to learn from leading practices.
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