Diseases of the Heart. Diseases of the Nervous System, Stroke. Geriatric medicine. Diseases of the Lung. Quality results Helios Seehospital Sahlenburg

Transkript

1 Quality results Helios Seehospital Sahlenburg IQM Target value Source IQM Average value Number cases Hospital Average value Number cases Hospital Expected value SMR Diseases the Heart Acute Myocardial Infarction (AMI) Secundary diagnosis AMI, in-hospital 9, Heart Failure Principle diagnosis heart failure, in-hospital, observed 7, , Diseases the Nervous System, Stroke Multiple sclerosis Inpatient treatment for multiple sclerosis (PDX) 48,5 ().97 Geriatric medicine Malnutrition elderly patients Malnourished patients, age > 65, without tumor diseases, ,6 8.85, Patients fed by tube/infusion, Diseases the Lung Pneumonia Pneumonia (PDX), in-hospital, observed 0, ,0, ,0 Pneumonia excluding admission transfers, neoplasms, cystic fibrosis, (CAP), in-hospital, observed, age > 9 9, ,

2 Malignant neoplasm bronchus and lung Inpatient treatment for malignant neoplasm bronchus and lung (PDX) 07,9 (48) Diseases the visceral organs Diseases the large bowel and rectum Inpatient treatments for ulcerative colitis or Crohn's disease (PDX + SDX) 4, (70) Diseases the skeletal system Endoprosthetics Hip replacement for coxarthrosis and chronic hip arthritis, in-hospital < 0,6 0, Hip replacement for hip fracture, in-hospital 5, Hip replacement for other diagnoses, in-hospital 4, Hip replacement for coxarthrosis and hip arthritis, share cases with non-surgical complications 3, ,83 0,6 6 Hip revision surgery without fracture or infection, in-hospital <,0, Hip revision surgery for fracture or infection, inhospital 4, Knee replacement for gonarthrosis and chronic knee arthritis, in-hospital < 0,09 0, Knee replacement for other diagnoses, in-hospital 0, Knee replacement for gonarthrosis and knee arthritis, share cases with non-surgical complications, ,6 5, Revision knee replacement without fracture or infection, in-hospital < 0, 0, there knee revision surgery with special prosthesis, in-hospital 0, Revision knee replacement for fracture or infection, in-hospital,7 6.54

3 Hip or knee replacement for cancer, in-hospital 6, Hip fracture Femoral neck fracture, in-hospital 5, ,0 age 60-69, age , ,6 age , ,9 Spinal surgery Surgery the spine and medulla except local interventions for pain management 38,5 (8) Share surgeries the spine, surgeries the medulla/spinal canal 89,3 (34) Spinal fusion or vertebral body replacement for cancer, in-hospital 7, Spinal fusion or vertebral body replacement for trauma, in-hospital 3, Surgery the spine in case discitisor or osteomyelitis, in-hospital 7, Complex reconstructions the spine (without cancer or trauma), in-hospital 0, Spinal fusion or vertebral body replacement, level (without cancer, trauma, complex reconstr.), inhospital 0, Spinal fusion or vertebral body replacement, levels (without cancer, trauma, complex reconstr.), inhospital 0, Spinal fusion or vertebral body replacement, 3 or more levels (without cancer, trauma, complex reconstr.), in-hospital 0, Spinal discectomy (without cancer, Trauma, complex reconstr.), in-hospital < 0,035 0, Spinal decompression without other spinal surgery, in-hospital 0, Vertebroplasty or kyphoplasty (without cancer, complex reconstr., discectomy, vertebral body replacement), in-hospital 0,

4 Other surgeries the spine or medulla, in-hospital, Spinal discectomy (without cancer, trauma, complex reconstr.), share cases with non-surgical complications 0, Local spinal interventions for pain management (without other spinal surgery) 0,3 (37) Treatment spinal diseases (PDX) without spinal surgery or local interventions 96,4 (67) Diseases the skin Diseases the skin Inpatient treatment for dermatitis and eczema (PDX) 55,9 (8) Inpatient treatment for psoriasis (PDX) 4, (3) Intensive care Intensive care Sepsis (PDX), in-hospital 5, ,4 there Sepsis without organ dysfunction or shock (PDX), in-hospital 4, , Sepsis (as secondary diagnosis), in-hospital 3, , Length stay (LOS) for selected diseases / procedures Length stay (LOS) for selected diseases / procedures Length stay excluding psychiatry and early rehabilitation 5, , , Hip replacement for coxarthrosis and chronic hip arthritis, LOS excluding early rehabilitation 9, , , Knee replacement for gonarthrosis and chronic knee arthritis, LOS excluding early rehabilitation 9, , , Supplementary information Supplementary information

5 Share inpatient cases displayed in all G-IQI/CH-IQI indicators 67, , , Share deaths displayed in G-IQI/CH-IQI indicators 58, Share deaths contained in all G-IQI/CH-IQI groups 7, G-IQI 5. Stand: Sources: Thomas Mansky, Ulrike Nimptsch, Ekkehard Schuler, Josef Zacher, Andre Cools, Friedhelm Hellerhf Fachgebiet Strukturentwicklung und Qualitätsmanagement im Gesundheitswesen, TU Berlin (u.a.) The expected value includes the expected our patients according to age and gender and is only indicated for those indicators with comparative figures the federal average which allow calculations. Die SMR (standardized ratio) ist der Quotient aus beobachteter Sterblichkeit (Durschschnittswert) und dem Erwartungswert. G-IQI German Inpatient Quality Indicators. Version 4. - Band : Definitionshandbuch für das Datenjahr 05. Berlin: Universitätsverlag der TU Berlin 05 Die Referenzwerte bzw. Zielwerte leiten sich aus folgenden Quellen ab: () Forschungsdatenzentren der statistischen Ämter des Bundes und der Länder, DRG-Statistik 03. Eigene Berechnungen. Diese Daten bilden auch die Grundlage für die Berechnung der nach Alter und Geschlecht standardisierten klinikindividuellen Erwartungswerte. () Gleiche Quelle wie (); bei den Mengenindikatoren handelt es sich um die mittlere Fallzahl (in Klammern: den Median) auf Bundesebene bezogen auf diejenigen Krankenhäuser, die die Leistung im Jahr 03 erbracht haben. (3) Mindestmengen: Im Falle der Auswertung einzelner Kliniken wird hier die Zahl der erbrachten Fälle dargestellt. Für die Bundesauswertung bzw. die IQM Gruppe wird der Anteil der Kliniken dargestellt, der die Mindestmenge erreicht hat (Zähler: diese Kliniken; Nenner: alle Kliniken, die die jeweilige Leistung erbracht haben). (4) Der Zielwert ist hier nicht identisch mit dem Bundeswert und wurde entnommen aus: Kaiser D (007) Mindestmengen aus thoraxchirurgischer Sicht. Chirurg, 78(): 0-07