Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality ReportThe Infection Control team have led an initiative to improve beverage provision atward level providing a new light weight and easily cleaned trolley. Trolleys have beenpurchased with flasks and containers for the benefit of our patients.Infection control improvements in yearThe Trust has seen a measurable decrease in the closure of wards and bays in 2012/13indicating an improvement in infection control practices across the Trust. Results for2012/13 compared to the previous year are shown in the table below.2012/13 2011/12Bed closures in days 98 362Numbers of bays closed and days closed forNumber of wards closed and days closed for14 bays closed- 41 days12 wards closed- 47 days69 bays closed-133 days34 wards closed-180 daysReducing hospital mortalityThe Trust has a multidisciplinary Mortality Group, chaired by the Medical Director,to review the Trust’s HSMR (Hospital Standardised Mortality Ratio) and Dr Fosterrelative risk reports on a monthly basis. The group also reviews death certificationand electronic Immediate Discharge Forms (e-IDF) to ensure accuracy of coding. Thegroup discusses areas of potential concerns regarding clinical care or coding issuesand identifies further work, including detailed case note review and presentations fromrelevant specialties.Mortality outlier alerts may be triggered by Dr Foster analysis, through Imperial College,or from the Care Quality Commission data analysis. Dr Foster is a leading providerof comparative information on health and social care services. Its online tools andconsumer guides are used by both health and social care organisations to inform theoperation of their services.Dr Foster produces an annual hospital guide and one metric within this, known asHospital Standardised Mortality Ratio (HSMR) has become a recognised way ofassessing hospital mortality.The chart below shows the most recent report available from Dr Foster for the Trust.An HSMR value of 100 represents an average “expected” value and therefore a scorebelow 100 demonstrates a better than average position.78Annual Report and Accounts 2012/13