1. Quality Indicators And Healthcare A First Step To The Evaluation Of A Hospital’s Performance Introdução à Medicina 2008/2009 Ana Cristina Pereira Ana Teresa Carapenha Ana Rita Oliveira André Vinha Catarina Vieira Eduardo Freitas João Rebelo Mariana Oliveira Marli Cruz Nuno Ribeiro Paulo Guedes Victoriano Costa Authors

2. Quality 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

3. Quality Of Healthcare Introdução à Medicina - Turma 10 EDDY, David M., 1998

4. Research Question and Main Aim Introdução à Medicina - Turma 10 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.

5. Specific Aims Introdução à Medicina - Turma 10

6. Methods 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

7. Introdução à Medicina - Turma 10 Methods 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

8. Introdução à Medicina - Turma 10 Obtained Results DeceasedAliveTotal Respiratory disorder (except infections, bronchitis and asthma) with major CC (****) 127342635536 Other nervous system disorders (except transient ischemic attack, seizure and headache) with major CC79819222720 Septicemia with major CC5857791364 Hepatobiliary and pancreas disorders with major CC54017092249 Respiratory neoplasms53712951832 Intracranial hemorrhage52715592086 Extracorporeal membrane oxygenation or tracheotomy with mechanical ventilation for more than 96 hours or tracheotomy with pdx except face/mouth/neck dx 4748281302 Major stomach, oesophageal, duodenal, small and large bowel procedure with major CC46611001566 Simple pneumonia and pleurisy with CC (age >17)45736694126 Circulatory disorders with AMI, expired4360 (****) 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)

9. Introdução à Medicina - Turma 10 Obtained Results Alive (%)Deceased (%)Total (%) Cardiac arrest, unexplained25,0%75,0%100,0% HIV with ventilator or nutritional support42,4%57,6%100,0% Tracheotomy for HIV infection46,2%53,8%100,0% Craniotomy for multiple significant trauma46,5%53,5%100,0% Neonate, birthweight between 1500-1999g, with significant OR procedure, without multiple major problems50,0% 100,0% Pneumocystosis50,0% 100,0% HIV with OR procedure and ventilator or nutritional support52,6%47,4%100,0% Craniotomy for multiple significant trauma with non-traumatic major CC56,4%43,6%100,0% Septicemia with major CC57,1%42,9%100,0% Major skin and breast disorders with major CC62,3%37,7%100,0%

10. Introdução à Medicina - Turma 10 Obtained Results DeceasedAliveTotal Respiratory disorder (except infections, bronchitis and asthma) with major CC127342635536 Other nervous system disorders (except transient ischemic attack, seizure and headache) with major CC 79819222720 Septicemia with major CC5857791364 Hepatobiliary and pancreas disorders with major CC54017092249 Respiratory neoplasms53712951832 Intracranial hemorrhage52715592086 Extracorporeal membrane oxygenation or tracheotomy with mechanical ventilation for more than 96 hours or tracheotomy with pdx except face/mouth/neck dx 4748281302 Major stomach, oesophageal, duodenal, small and large bowel procedure with major CC46611001566 Simple pneumonia and pleurisy with CC (age >17)45736694126 Circulatory disorders with AMI, expired4360 Alive (%)Deceased (%)Total (%) Cardiac arrest, unexplained25,0%75,0%100,0% HIV with ventilator or nutritional support42,4%57,6%100,0% Tracheotomy for HIV infection46,2%53,8%100,0% Craniotomy for multiple significant trauma46,5%53,5%100,0% Neonate, birthweight between 1500-1999g, with significant OR procedure, without multiple major problems 50,0% 100,0% Pneumocystosis50,0% 100,0% HIV with OR procedure and ventilator or nutritional support52,6%47,4%100,0% Craniotomy for multiple significant trauma with non-traumatic major CC56,4%43,6%100,0% Septicemia with major CC57,1%42,9%100,0% Major skin and breast disorders with major CC62,3%37,7%100,0%

11. Introdução à Medicina - Turma 10 Obtained Results

12. Introdução à Medicina - Turma 10 Obtained Results

13. Introdução à Medicina - Turma 10 Obtained Results

14. Introdução à Medicina - Turma 10 Obtained Results Statistics Portugal: http://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_cont_inst&ine_smenu.boui=13918434&INST=53864&xlang=en

15. Introdução à Medicina - Turma 10 Obtained Results

16. Introdução à Medicina - Turma 10 Obtained Results

17. Introdução à Medicina - Turma 10 Obtained Results

18. Introdução à Medicina - Turma 10

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