Strategic Indicators Report: Results - Ontario Hospital Association

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Data AvailabilityQuarterlyBaseline25% in the 2009/2010 fiscal year (57% good/very good and 18% poor/fair)TargetsYear 1 (March 31, 2011) – 25% of patients rating overall quality in ER as excellentYear 2 (March 31, 2012) – 30% of patients rating overall quality in ER as excellentYear 3 (March 31, 2013) – 35% of patients rating overall quality in ER as excellentSupporting Strategies and ActivitiesAn ER Patient Satisfaction Performance Improvement Advisory Committee has been convened to advise andassist the OHA and the MOHLTC with an ER patient satisfaction performance improvement strategy. TheMinistry funded strategy and partnership to improve patient satisfaction in the ER has been extended untilMarch 31, 2012 and includes a worldwide review of leading practices, educational sessions and a toolkit.The strategy is also now more closely aligned with Health Quality Ontario as they work to support hospitalswith their QIPs.ResultsStrategic Indicators: June 2011 -- Page 4 of 24
Indicator 2: Patient SafetyOverviewIndicator: Hospital Standardized Mortality Ratio (HSMR), All CasesRationale: Rigorously validated by the Canadian Institute for Health Information (CIHI) and publicly reported,HSMR can help support efforts to improve patient safety and quality of care by providing a starting point toassess mortality rate and identify areas for improvement, which may help to reduce deaths from adverseevents.Baseline: 73% of reportable hospitals with a one-year rate decrease from 2007-08 to 2008-093-Year Target: 90% of reportable hospitals with a rate decrease since 2008-09Indicator Definition and CalculationRatio of actual (observed) deaths to expected deaths, adjusted for several factors that affect in-hospitalmortality, including age, sex, length of stay, admission category, diagnosis group, comorbidity and transferfrom another acute care institution. An HSMR equal to 100 suggests that there is no difference between alocal mortality rate and the average national experience, given the types of patients cared for. An HSMRgreater or less than 100 suggests that a local mortality rate is higher or lower than the national experience,respectively.Numerator: Observed deaths, or actual number of in-hospital deaths that occurred in a hospital or region.Denominator: Expected deaths, or number of deaths that would have occurred in a hospital or region had themortality of these patients been the same as the mortality of similar patients across the country, based on thereference year (2004-2005).OHA Calculation of Baseline and ResultsCalculation for Percent of Reportable Hospitals with a Rate Decrease:Numerator = Total Number of Hospitals with a Negative Change in HSMR from 2008-09 to Current YearDenominator = Total Number of Reportable HospitalsNotes:Calculations are for HSMR (All Cases)Most Recent HSMR refers to most recent HSMR score available since 2008-09Oldest HSMR refers to the oldest HSMR score available since 2008-09Change in HSMR for a Hospital = Most Recent HSMR – Oldest HSMRReportable Hospitals refers to hospitals with at least two HSMR scores reported between 2008-09 and 2010-11Strategic Indicators: June 2011 -- Page 5 of 24
Page 6 and 7: Data SourceCIHI, Hospital Standard
Page 8 and 9: Indicator 3: Wait Times in Emergenc
Page 10 and 11: Status and Communications• Monthl
Page 12 and 13: Baseline4,689 patients as of March
Page 14 and 15: Indicator 5: Health Information Tec
Page 16 and 17: Work with Small, Rural and Northern
Page 18 and 19: Data SourceExpenditures DataMinistr
Page 20 and 21: Optimising Health Human ResourcesIn
Page 22 and 23: Leading Governance ExcellenceIndica
Page 24: ResultsResults also to be reported

Strategic Indicators Report: Results - Ontario Hospital Association

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