Clinical Outcome Report - The Royal Wolverhampton Hospitals NHS ...

Dr Foster – Clinical Outcome Report (March 2008)This report covers the period April 2004 to December 2007.This and subsequent reports aim to provide information for all clinical staff in the Trust on the 4 outcomemeasures within the Dr Foster system and thus highlight the Trusts performance against the national benchmark.The data are presented in 4 ways:1. the trend over time – a 3 year period split into quarters (page 1);2. the average performance of the Trust over a three year period set against the national average (page 2);3. specialty outcome data for the top ten specialties by % volume of Trust activity;4. and a Divisional scorecard split by specialty.MortalityOverall Trust mortality for the HSMR and All Diagnoses has fallen from quarter 4 2006 and is significantlybelow the national average. The same can be said for mortality when measured by procedure codes, but this isnot statistically significant. For the three year period in total the Trust is around the national average formortality albeit with a slight excess in the number of deaths expected.Length of stayThe position for length of stay is good when measured by the diagnosis but when measured by procedure thereare a significant number of patients who have a longer than expected length of stay. The first question to beasked is, are these patients being coded with all attributable co-morbidities. If not then they will have anartificially lowered risk assessment and the expected length of stay will be miscalculated.Specialty data is very individualistic but we hope that you will be able to use the data in the description of yourservice in the Divisional Governance reports. This will then feed into the Trust Governance agenda.This report will be up-dated and circulated on a quarterly basis and we hope that you will find it useful ingovernance terms.1 of 8 8-Apr-08