developments & issues in the production of the summary hospital-level mortality indicator (shmi)...
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Developments & Issues in the Production of the Summary Hospital-level Mortality Indicator (SHMI)
Health and Social Care Information Centre (HSCIC)
Overview
What is SHMI
Details of SHMI
Why we are producing SHMI
How SHMI was developed and is governed
Details of SHMI
athsExpectedDeathsObservedDe
SHMI
Using Statistical Process Control
SPC Chart – Funnel Plot
Upper Control Limits
Lower Control Limits
England Baseline
Issues Capturing and Handling• Feedback captured
from users• Issues added to
Issues Log• Review and
updates at every publication
• Updates to issues announced through
Methodology Changes
• Changes reflected on publication• Documentation• Outputs• …
Issue 1: Over-dispersion
Issue 2: Model convergence
Issue 3: Palliative Care
Future Developments
Summary
Clinical IndicatorsHealth and Social Care Information Centre
TEL: 0845 300 6016email: [email protected]
Questions & Answers