Public reporting Dr Foster Quality Accounts () 6. In-hospital death in low mortality DRG Death in low mortality DRG Source and Definition Numerator / Inclusion / Exclusion Criteria Age group Risk adjustment & Reporting & interpretation indicator name Denominator for Denominator statistical methods In-hospital Numerator Inclusion criteria: Age 18 There is no risk How reported: – deaths in Age at date of admission is 120 years adjustment for CHBOI Number of in-hospital Reported as the percentage of separations Diagnosis between 18 and 120 years, 2 Death in low deaths for low mortality for low mortality diagnosis-related groups Year: 2012 Related inclusive mortality DRGs DRGs x 100 (DRGs) that end in death in hospital. Groups with a DRGs codes: low mortality however, Interpretation: mortality rate DRGs (see Appendix 2 for list of stratification of Number of in-hospital less than 0.5% codes) results by High or rising rates signal that a problem deaths = total number of Care type12 = acute care. peer group will might exist and that further investigation is separations (meeting improve the required. Exclusion criteria: denominator criteria) and comparability and Investigations should consider a range of separation mode11 = died. Any diagnosis (principal or relevance of the possible explanations including: differences additional) and/or any unadjusted rates. Denominator from the national patient population; procedure of trauma, Number of separations in structural or resource issues (e.g. staff state, cancer. low-mortality DRGs. shortages, ward closures, etc.); changes in Low mortality DRGs are treatment protocols; and professional defined as DRGs with a practice (i.e. individual clinical staff actions) national mortality rate of (Mohammed et al. 2004). less than 0.5% over the For this indicator, the main risk lies in previous 3 allocation of a low mortality DRG to a patient with multiple reasons for admission. Publicly reported: TBA
Public reporting Dr Foster Quality Accounts () 6. In-hospital death in low mortality DRG Death in low mortality DRG Source and indicator name Definition Numerator / Denominator Inclusion / Exclusion Criteria for Denominator Age group Risk adjustment & statistical methods Reporting & interpretation Year: 2012 In-hospital deaths in Diagnosis Related Groups with a mortality rate less than 0.5% Numerator Number of in-hospital deaths for low mortality DRGs x 100 Number of in-hospital deaths = total number of separations (meeting denominator criteria) and separation mode11 = died. Denominator Number of separations in low-mortality DRGs. Low mortality DRGs are defined as DRGs with a national mortality rate of less than 0.5% over the previous 3 Inclusion criteria: Age at date of admission is between 18 and 120 years, inclusive DRGs codes: low mortality DRGs (see Appendix 2 for list of codes) Care type12 = acute care. Exclusion criteria: Any diagnosis (principal or additional) and/or any procedure of trauma, state, cancer. Age 18 – 120 years There is no risk adjustment for CHBOI 2 Death in low mortality DRGs however, stratification of results by peer group will improve the comparability and relevance of the unadjusted rates. How reported: Reported as the percentage of separations for low mortality diagnosis-related groups (DRGs) that end in death in hospital. Interpretation: High or rising rates signal that a problem might exist and that further investigation is required. Investigations should consider a range of possible explanations including: differences from the national patient population; structural or resource issues (e.g. staff shortages, ward closures, etc.); changes in treatment protocols; and professional practice (i.e. individual clinical staff actions) (Mohammed et al. 2004). For this indicator, the main risk lies in allocation of a low mortality DRG to a patient with multiple reasons for admission. Publicly reported: TBA