Quality Indicators And Healthcare

Quality Indicators And Quality Indicators And HealthcareHealthcare

A First Step To The Evaluation Of A Hospital’s PerformanceA First Step To The Evaluation Of A Hospital’s Performance

Introdução à Medicina

2008/2009

Ana Cristina PereiraAna Cristina PereiraAna Teresa CarapenhaAna Teresa Carapenha

Ana Rita OliveiraAna Rita OliveiraAndré VinhaAndré Vinha

Catarina VieiraCatarina VieiraEduardo FreitasEduardo Freitas

João RebeloJoão RebeloMariana OliveiraMariana Oliveira

Marli CruzMarli CruzNuno RibeiroNuno Ribeiro

Paulo GuedesPaulo GuedesVictoriano CostaVictoriano Costa

Authors

Quality Of HealthcareQuality Of Healthcare

The indicators are the source of information to evaluate the performance of a hospital.

KIRKMAN, Jamie John, BOUAMRA, Omar , 2008.

Introdução à Medicina - Turma 10

Quality Of HealthcareQuality Of Healthcare


EDDY, David M., 1998

Research Question and Main AimResearch Question and Main Aim


How did quality and performance indicators evolve through the years in a central hospital?

Our main objective is to calculate these indicators concerning different variables and to have a perspective of the performance of

the hospital in case.

Used data: episodes in a central hospital, between 1999 and 2008.

Specific AimsSpecific Aims



MethodsMethods

SPSS (Statistical Package for the Social Sciences)Provider of predictive analytics software and solutions. (*)

(*) SPSS: The Predictive Analytics Company: http://www.spss.com/corpinfo/?source=homepage&hpzone=nav_bar


MethodsMethods

DRGs

ICD-9-CM

“ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States.” (**)

“A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay.” (*)

(*) MeSh definition(**) Classifications of Diseases and Functioning & Disability: http://www.cdc.gov/nchs/about/otheract/icd9/abticd9.htm

INE

“The entity responsible for ensuring the production and dissemination of official statistical information.” (***)

(***) Statistics Portugal: http://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_cont_inst&ine_smenu.boui=13918434&INST=53864&xlang=en


Obtained ResultsObtained Results

Deceased Alive Total

Respiratory disorder (except infections, bronchitis and asthma) with major CC (****) 1273 4263 5536

Other nervous system disorders (except transient ischemic attack , seizure and headache) with major CC 798 1922 2720

Septicemia with major CC 585 779 1364

Hepatobiliary and pancreas disorders with major CC 540 1709 2249

Respiratory neoplasms 537 1295 1832

Intracranial hemorrhage 527 1559 2086

Extracorporeal membrane oxygenation or tracheotomy with mechanical ventilation for more than 96 hours or tracheotomy with pdx except face/mouth/neck dx

474 828 1302

Major stomach, oesophageal, duodenal, small and large bowel procedure with major CC 466 1100 1566

Simple pneumonia and pleurisy with CC (age >17) 457 3669 4126

Circulatory disorders with AMI, expired 436 0 436

(****) CC: complications and commorbilities. (HCUP -3 Nationwide Inpatient Sample for 1994: Diagnosis-Related Groups: http://www.hcup-us.ahrq.gov/reports/natstats/94drga.htm#146)



Alive (%) Deceased (%) Total (%)

Cardiac arrest, unexplained 25,0% 75,0% 100,0%

HIV with ventilator or nutritional support 42,4% 57,6% 100,0%

Tracheotomy for HIV infection 46,2% 53,8% 100,0%

Craniotomy for multiple significant trauma 46,5% 53,5% 100,0%

Neonate, birthweight between 1500-1999g, with significant OR procedure, without multiple major problems 50,0% 50,0% 100,0%

Pneumocystosis 50,0% 50,0% 100,0%

HIV with OR procedure and ventilator or nutritional support 52,6% 47,4% 100,0%

Craniotomy for multiple significant trauma with non-traumatic major CC 56,4% 43,6% 100,0%

Septicemia with major CC 57,1% 42,9% 100,0%

Major skin and breast disorders with major CC 62,3% 37,7% 100,0%



Deceased Alive Total

Respiratory disorder (except infections, bronchitis and asthma) with major CC 1273 4263 5536

Other nervous system disorders (except transient ischemic attack , seizure and headache) with major CC

798 1922 2720

Septicemia with major CC 585 779 1364

Hepatobiliary and pancreas disorders with major CC 540 1709 2249

Respiratory neoplasms 537 1295 1832

Intracranial hemorrhage 527 1559 2086

Extracorporeal membrane oxygenation or tracheotomy with mechanical ventilation for more than 96 hours or tracheotomy with pdx except face/mouth/neck dx

474 828 1302

Major stomach, oesophageal, duodenal, small and large bowel procedure with major CC 466 1100 1566

Simple pneumonia and pleurisy with CC (age >17) 457 3669 4126

Circulatory disorders with AMI, expired 436 0 436Alive (%) Deceased (%) Total (%)

Cardiac arrest, unexplained 25,0% 75,0% 100,0%

HIV with ventilator or nutritional support 42,4% 57,6% 100,0%

Tracheotomy for HIV infection 46,2% 53,8% 100,0%

Craniotomy for multiple significant trauma 46,5% 53,5% 100,0%

Neonate, birthweight between 1500-1999g, with significant OR procedure, without multiple major problems

50,0% 50,0% 100,0%

Pneumocystosis 50,0% 50,0% 100,0%

HIV with OR procedure and ventilator or nutritional support 52,6% 47,4% 100,0%

Craniotomy for multiple significant trauma with non-traumatic major CC 56,4% 43,6% 100,0%

Septicemia with major CC 57,1% 42,9% 100,0%

Major skin and breast disorders with major CC 62,3% 37,7% 100,0%



Statistics Portugal: http://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_cont_inst&ine_smenu.boui=13918434&INST=53864&xlang=en

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