The Fraser Institute released the Hospital Report Card: Ontario 2009, a peer-reviewed and risk-adjusted study that compares the performance of Ontario’s 136 acute care hospitals. Only 17 hospitals agreed to be named in this year’s report, a significant drop from the first report card for Ontario in 2006 when 43 hospitals agreed to be identified.
The peer-reviewed report compares the performance of hospitals on up to 50 separate indicators of quality (such as death due to a stroke) and patient safety (such as a foreign body left inside a patient during a procedure). The methodology was developed by the US Agency for Healthcare Research and Quality (AHRQ) and researchers at Stanford University and employs a risk-adjustment system developed by 3M. The AHRQ methodology is used in more than a dozen U.S. states as well as British Columbia and Ontario. The current report card provides 39 indicators of inpatient quality and patient safety calculated for the latest year for which results are available as well as a Hospital Mortality Index that shows overall performance across nine indicators of mortality. The indicators are shown for acute-care hospitals in Ontario from 1997/98 to 2006/07 (where available), comprising more than 10.5 million completely anonymous patient records.
The report card is based on data from the Canadian Institute for Health Information’s (CIHI) Discharge Abstract Database. This information is derived from patient records provided to CIHI by all Ontario hospitals.