4. In-hospital mortality indicators for pneumonia In-hospital mortality indicators for pneumonia Source Definition Numerator / Inclusion / Exclusion Criteria Age group Risk adjustment Reporting Denominator for Denominator In-hospital deaths Numerator: Inclusion criteria: Age at date of Risk adjustments made for: How reported: of patients Principal diagnosis35 of admission is Age in years at date of Observed number of The ratio of observed admitted for pneumonia (J13.x J16.x, between 18 admission hospital deaths for – (actual) number of Year: 2012 pneumonia J18.x) and 89 years, Additional (comorbid) pneumonia patients × hospital deaths to Age at date of admission is inclusive diagnoses: national in hospital expected number of between 18 and 89 years, Dementia mortality rate for hospital deaths for inclusive Alzheimer’s disease pneumonia patients pneumonia patients, Care type36 = acute care Hypotension multiplied by the national Where Length of stay (LOS, including Shock mortality rate for leave days) is between 1 and Kidney (renal) failure Observed number of pneumonia patients : 30 days, inclusive [1 day hospital deaths for Other chronic obstructive ≤ Interpretation: LOS 30 days]. pneumonia patients = the pulmonary disease ≤ total number of separations Heart failure A higher than the (meeting the denominator Dysrhythmia national rate corresponds criteria) where separation to a higher than expected Malignancy mode = died. mortality rate, while a Liver disease value of lower than the Cerebrovascular disease National mortality rate = national rate corresponds Parkinson’s disease national observed number to a lower than expected of in-hospital deaths for mortality rate. pneumonia ÷ national observed number of High or rising signal separations for pneumonia. that a problem might exist and that further Denominator: investigation is required. Expected number of Public reporting: TBA hospital deaths for pneumonia patients,= the Hospital reporting: TBA sum of the estimated probabilities of for all separations (meeting the denominator criteria), calculated using national
4. In-hospital mortality indicators for pneumonia In-hospital mortality indicators for pneumonia Source Definition Numerator / Denominator Inclusion / Exclusion Criteria for Denominator Age group Risk adjustment Reporting Year: 2012 In-hospital deaths of patients admitted for pneumonia Numerator: Observed number of deaths for pneumonia patients × national in hospital mortality rate for pneumonia patients Where Observed number of deaths for pneumonia patients = the total number of separations (meeting the denominator criteria) where separation mode = died. National mortality rate = national observed number of in-hospital deaths for pneumonia ÷ national observed number of separations for pneumonia. Denominator: Expected number of deaths for pneumonia patients,= the sum of the estimated probabilities of for all separations (meeting the denominator criteria), calculated using national Inclusion criteria: Principal diagnosis35 of pneumonia (J13.x – J16.x, J18.x) Age at date of admission is between 18 and 89 years, inclusive Care type36 = acute care Length of stay (LOS, including leave days) is between 1 and 30 days, inclusive [1 day ≤ LOS ≤ 30 days]. Age at date of admission is between 18 and 89 years, inclusive Risk adjustments made for: Age in years at date of admission Additional (comorbid) diagnoses: Dementia Alzheimer’s disease Hypotension Shock Kidney (renal) failure Other chronic obstructive pulmonary disease Heart failure Dysrhythmia Malignancy Liver disease Cerebrovascular disease Parkinson’s disease How reported: The ratio of observed (actual) number of deaths to expected number of deaths for pneumonia patients, multiplied by the national mortality rate for pneumonia patients : Interpretation: A higher than the national rate corresponds to a higher than expected mortality rate, while a value of lower than the national rate corresponds to a lower than expected mortality rate. High or rising signal that a problem might exist and that further investigation is required. Public reporting: TBA Hospital reporting: TBA hospital hospital hospital hospital hospital