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Newsroom
Media Release
December 15, 2010
ATTN: NEWS / HEALTH EDITORS
Trillium Health Centre reports improved results in national patient safety indicator
Canadian Institute for Health Information releases HSMR data
Trillium Health Centre’s results improved in relation to the national average in Hospital Standardized Mortality Ratio (HSMR) reports for 2009-10 issued by the Canadian Institute for Health Information (CIHI) today.
HSMR measures the ratio of actual to expected deaths in acute care hospitals by comparing the actual number of deaths in a hospital or health region with the overall Canadian experience - after adjusting for various factors that affect in-hospital mortality, such as the age, gender, transfers, diagnoses and admission status of patients.
Trillium’s HSMR results decreased significantly in fiscal 2009-10 to 85 compared to 97 the previous year, and well below the national average for expected mortality rate, which is calculated to establish the national average baseline ratio of 100.
Trillium Health Centre is a strong supporter of the CIHI HSMR study because it is an important high-level statistical measure of patient outcomes over time. HSMR is used by hospitals in a number of countries around the world to assess and analyze mortality rates and to identify areas for improvement in quality and safety of patient care.
“At Trillium, we consider HSMR data as one of the main indicators of our hospital’s performance,” said Janet Davidson, O.C., Trillium’s president and CEO. “We are focused on creating a culture of safety throughout the entire organization, so that everyone sees patient safety as their responsibility. We take an interprofessional approach to safety and quality to which all our staff, physicians and volunteers contribute.”
Trillium Health Centre HSMR
| Year | Number of cases |
|---|---|
| 2004-05: | 102 |
| 2005-06: | 97 |
| 2006-07: | 105 |
| 2007-08: | 92 |
| 2008-09: | 97 |
| 2009-10: | 85 |
Note: HSMR equal to 100 means there is no difference between a hospital's mortality rate and the overall average experience of patients in Canada
"What we've seen across Canada is that the HSMR has been a great motivator for change," said Patti Cochrane, Trillium's vice president, patient services and quality and chief nursing officer. "Trillium has been able to use HSMR results to understand what is driving mortality rates and where improvements can be made. As a result, we've made tangible changes to the care we provide, making a real difference to patient outcomes and potentially saving lives."
Trillium uses many indicators to evaluate how our health centre is performing, both to identify areas where we are doing well and those where improvements could be made. This allows us to revisit or reinforce our approaches and processes to improve safety on an ongoing basis.
The introduction of Trillium’s Quality and Patient Safety Plan has reinforced our culture of quality and patient-centred care. The plan outlines Trillium’s framework for continuous improvement as well as a number of quality initiatives which have collectively contributed to a reduction in Trillium’s HSMR numbers. The effectiveness of such programs is tracked in relation to four main quality indicators, of which is HSMR is one.
A few examples of Trillium’s quality initiatives are listed below:
- Transfer of accountability at bedside protocol
- Medical Emergency Teams (MET)
- Verbal order ‘read back’ process
- Physician order sets
- Surgical safety checklists
- Safer Healthcare Now! initiatives
The full HSMR report is available electronically from CIHI at www.cihi.ca.
About Trillium Health Centre
Trillium Health Centre is one of Canada’s largest academically-affiliated hospitals providing quality and safe care to over one million residents in Mississauga, southwest Toronto and the surrounding areas. Trillium is a 774-bed regional referral centre with highly-specialized, complex programs in advanced cardiac, vascular, stroke, neurosciences, orthopaedic, geriatric and sexual assault/domestic violence services. Trillium’s $450 million annual budget supports the 4,200 staff, 748 physicians and 1,100 volunteers who care for the 762,000 patients who visit each year.
Trillium - Mississauga has an Emergency Department, inpatient units and surgical centre while an Urgent Care Centre, day surgery and other outpatient programs are located at Trillium - West Toronto. Trillium Health Centre Foundation, the health centre’s fundraising arm, inspires the community to invest in the hospital. Trillium is recognized by Accreditation Canada, National Quality Institute and Ontario Health Quality Council for providing safe, high-quality health care and leadership in a healthy workplace.
For more information, go to www.trilliumhealthcentre.org.
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Media Contact:
Larry Roberts
Media Relations Consultant
Trillium Health Centre
Office: 905-848-7580 ext. 3832
lroberts@thc.on.ca