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Municipality Brampton Category All indicators Select a different category   LEGEND: BLUE Better than the Ontario average for the selected year. WHITE Not different from the Ontario average for the selected year. RED Worse than the Ontario average for the selected year. - No data were available for this year. DEFINITIONS: Rank All institutions were ranked on each indicator based on their scores, where the highest rank of 1 corresponds to the highest score out of 100. Volume indicators were not ranked since they have threshold requirements. Score The score indicates how well a hospital performs on a given indicator, based on its risk adjusted rate where a score of 100 is the highest. Risk adjusted rate Measures the observed rate adjusted for differences in patients’ age, sex, and the presence of complications. Observed rate Measures the outcome of interest compared to population at risk. Ontario average/total This value is the risk adjusted average (Ontario average) or total (Ontario total) of an indicator across all acute care hospitals in Ontario. Post-operative physiologic and metabolic derangements Development of disorders that interfere with biochemical processes within the body including kidney failure and diabetes occurring in patients after an elective surgery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed (per thousand) 0.7 0.2 0.3 0.5 0.5 0.3 0.3 1.3 1.4 0.7 Risk adjusted (per thousand) 0.5 0.0 0.2 0.3 0.4 0.0 0.0 0.6 0.6 0.3 Ontario average (per thousand) 0.3 0.2 0.3 0.2 0.3 0.3 0.4 0.2 0.3 0.5 Compare this indicator against other municipalities in Ontario Post-operative respiratory failure Development of respiratory failure occurring in patients after undergoing elective surgery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed (per thousand) - - - - - 0.3 0.7 1.2 1.1 1.7 Risk adjusted (per thousand) - - - - - 0.0 0.0 0.6 1.9 2.9 Ontario average (per thousand) - - - - - 0 0 0.4 2.4 3.3 Compare this indicator against other municipalities in Ontario Post-operative pulmonary embolism or deep vein thrombosis These conditions occur when a blood clot (usually formed in one of the leg veins) becomes detached and lodges in the lung artery or one of its branches (pulmonary embolism) or lodged in a another part of the body (deep vein thrombosis). This indicator is calculated for patients who develop these conditions after undergoing surgery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - - - Score View View View View View - - - - - Observed (per thousand) 4.0 3.7 3.0 2.3 6.6 - - - - - Risk adjusted (per thousand) 3.1 2.6 2.2 1.4 5.2 - - - - - Ontario average (per thousand) 4 4 4.5 4.7 4.6 - - - - - Compare this indicator against other municipalities in Ontario Post-operative sepsis Patients that undergo elective surgeries and subsequently develop a hospital-acquired infection. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed (per thousand) 0.9 1.8 3.0 3.6 3.8 4.7 5.2 3.5 4.5 4.6 Risk adjusted (per thousand) 0.8 1.6 2.7 3.4 4.0 2.9 3.8 0.7 6.3 7.0 Ontario average (per thousand) 1.2 1.1 1.2 1.4 1.9 1.5 1 0.9 4.3 5.2 Compare this indicator against other municipalities in Ontario Post-operative wound dehiscence Parting of the layers of a surgical wound. Either the surface layers separate or the whole wound splits open. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - - - Score View View View View View - - - - - Observed (per thousand) 1.5 0.7 1.4 1.2 1.3 - - - - - Risk adjusted (per thousand) 0.8 0.0 0.6 0.4 0.4 - - - - - Ontario average (per thousand) 2 2.1 2 1.9 2 - - - - - Compare this indicator against other municipalities in Ontario Accidental puncture or laceration Accidental cut or wound during a procedure. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed (per thousand) - - - - - - - - - - Risk adjusted (per thousand) - - - - - - - - - - Ontario average (per thousand) 0 0 0 0 0 0 0 0 4.1 4.6 Compare this indicator against other municipalities in Ontario Transfusion reaction Patients with blood transfusion reactions. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Risk adjusted (per thousand) - - - - - - - - - - Ontario average (per thousand) - - - - - - - - - - Compare this indicator against other municipalities in Ontario Birth trauma Birth trauma for infants born alive in a hospital. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - View View Score View View View View View - - - View View Observed (per thousand) 2.0 3.1 5.3 2.4 4.2 - - - 2.8 1.3 Risk adjusted (per thousand) 2.0 3.1 5.2 2.4 4.1 - - - 2.2 1.0 Ontario average (per thousand) 9.2 8.7 8.9 8.9 8 - - - 2.3 2 Compare this indicator against other municipalities in Ontario Obstetric trauma - vaginal with instrument Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during vaginal delivery with an instrument. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed (per thousand) - - - - - 47.2 70.9 79.9 107.7 74.4 Risk adjusted (per thousand) - - - - - 42.8 67.4 76.1 105.8 73.1 Ontario average (per thousand) - - - - - 106.1 104.1 105.7 115.6 112.1 Compare this indicator against other municipalities in Ontario Obstetric trauma - vaginal without instrument Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during vaginal delivery without an instrument. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed (per thousand) - - - - - 18.0 25.0 22.8 19.7 18.0 Risk adjusted (per thousand) - - - - - 20.4 27.9 25.4 19.3 17.6 Ontario average (per thousand) - - - - - 37.4 35.9 33.8 27.3 27.2 Compare this indicator against other municipalities in Ontario Death in low mortality DRG Deaths among patients that are considered unlikely to die in the hospital. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed (per thousand) 1.0 0.7 1.6 0.8 1.0 0.8 1.3 1.4 0.5 0.3 Risk adjusted (per thousand) 0.3 0.0 0.9 0.4 0.5 0.2 0.8 0.9 - - Ontario average (per thousand) - - - - - - - - - - Compare this indicator against other municipalities in Ontario Obstetric trauma - cesarean section Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during Cesarean delivery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed (per thousand) - - - - - 2.8 4.2 2.2 4.2 2.0 Risk adjusted (per thousand) - - - - - 2.4 3.8 1.7 - - Ontario average (per thousand) - - - - - - - - - - Compare this indicator against other municipalities in Ontario Obstetric trauma with 3rd degree-vaginal with instrument Cases of potentially preventable trauma (3rd and 4th degree lacerations, other obstetric lacerations) during vaginal delivery with an instrument. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View - - Score - - - - - View View View - - Observed (per thousand) - - - - - 58.1 78.4 88.7 - - Risk adjusted (per thousand) - - - - - 52.9 74.2 84.1 - - Ontario average (per thousand) - - - - - 119.8 119.3 121.9 - - Compare this indicator against other municipalities in Ontario Obstetric trauma with 3rd degree-vaginal with out instrument Cases of potentially preventable trauma (3rd and 4th degree lacerations, other obstetric lacerations) during vaginal delivery without an instrument. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View - - Score - - - - - View View View - - Observed (per thousand) - - - - - 19.9 26.9 24.1 - - Risk adjusted (per thousand) - - - - - 22.1 29.6 26.6 - - Ontario average (per thousand) - - - - - 40.9 39.5 37.4 - - Compare this indicator against other municipalities in Ontario Obstetric trauma with 3rd degree-cesarean section Cases of potentially preventable trauma (3rd and 4th degree lacerations, other obstetric lacerations) during Cesarean delivery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View - - Score - - - - - View View View - - Observed (per thousand) - - - - - 2.8 4.2 2.2 - - Risk adjusted (per thousand) - - - - - 2.5 3.8 1.8 - - Ontario average (per thousand) - - - - - 6.1 6.7 6 - - Compare this indicator against other municipalities in Ontario Decubitus ulcer Pressure sores that develop when a patient lies on his or her back for extended periods. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed (per thousand) 3.5 2.1 3.3 3.6 5.2 6.0 4.7 5.1 4.8 5.1 Risk adjusted (per thousand) 0.3 0.0 0.0 0.0 0.0 2.0 0.8 0.9 5.7 5.8 Ontario average (per thousand) 0 0 0 0 0 2.5 0 0 8.9 9.6 Compare this indicator against other municipalities in Ontario Failure to Rescue Deaths in patients that developed specified complications of care during hospitalization. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed (per thousand) 246.8 239.6 242.9 234.3 191.5 176.3 200.0 172.3 160.4 166.3 Risk adjusted (per thousand) 188.3 197.2 180.0 173.3 141.4 126.5 134.6 127.6 149.2 158.7 Ontario average (per thousand) 151.9 148.2 154.5 136.4 134.2 145.9 147.4 138.5 190.4 198.1 Compare this indicator against other municipalities in Ontario Foreign body left during procedure Foreign object left in a patient during a procedure. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed (per thousand) 0.1 0.2 0.0 0.1 0.0 0.0 0.0 0.0 0.1 0.2 Risk adjusted (per thousand) 0.0 0.2 0.0 0.1 0.0 0.0 0.0 0.0 - - Ontario average (per thousand) - - - - - - - - - - Compare this indicator against other municipalities in Ontario Iatrogenic pneumothorax The collapse of a patient’s lung inadvertently induced by a physician or medical treatment. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed (per thousand) - - - - - - - - - - Risk adjusted (per thousand) - - - - - - - - - - Ontario average (per thousand) - - - - - 0 0 0 0.3 0.3 Compare this indicator against other municipalities in Ontario Selected infections due to medical care Cases of infection due to medical care, primarily those related to intravenous (IV) lines and catheters. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed (per thousand) - - - - - - - - - - Risk adjusted (per thousand) - - - - - - - - - - Ontario average (per thousand) 0 0 0 0 0 0 0 0 0.3 0.4 Compare this indicator against other municipalities in Ontario Post-operative hip fracture Hip fracture after surgery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - - - Score View View View View View - - - - - Observed (per thousand) 0.0 0.2 0.2 0.2 0.5 - - - - - Risk adjusted (per thousand) 0.0 0.2 0.2 0.2 0.5 - - - - - Ontario average (per thousand) 0.6 0.7 0.5 0.5 0.8 - - - - - Compare this indicator against other municipalities in Ontario Post-operative hemorrhage or hematoma Bleeding after surgery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - - - Score View View View View View - - - - - Observed (per thousand) 1.0 0.7 0.7 0.8 0.8 - - - - - Risk adjusted (per thousand) 0.0 0.0 0.0 0.0 0.0 - - - - - Ontario average (per thousand) 0 0 0 0 0.3 - - - - - Compare this indicator against other municipalities in Ontario Esophageal resection surgery volume view methodology Numbers of procedures involving the surgical removal of the tube that connects the mouth to the stomach, often due to esophageal cancer. Numbers above 6 are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed - - 6 - - - - 7 9 - Risk adjusted - - - - - - - - - - Ontario total 121 119 161 104 105 138 164 181 386 395 Compare this indicator against other municipalities in Ontario Abdominal Aortic Artery (AAA) Repair mortality rate Deaths due to surgery performed to repair the major artery that carries blood from the heart to the lower part of the body. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - - - Score View View View View View - - - - - Observed 7.14% 6.25% 15.79% 12.50% 22.22% - - - - - Risk adjusted 14.56% 7.65% 22.42% 9.29% 18.18% - - - - - Ontario average 13.43% 14.06% 14.02% 11.99% 12.46% - - - - - Compare this indicator against other municipalities in Ontario Coronary Artery Bypass Graft (CABG) mortality rate Deaths due to surgery performed to allow blood to bypass a clogged artery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 4.62% 0.94% 2.40% 2.50% 2.74% 2.37% 1.86% 2.36% 2.81% 1.89% Risk adjusted 7.36% 3.08% 4.51% 4.62% 4.28% 4.23% 4.08% 4.06% 9.66% 4.51% Ontario average 4.72% 4.73% 4.56% 4.46% 3.9% 3.38% 3.6% 4% 7.47% 5.28% Compare this indicator against other municipalities in Ontario Craniotomy mortality rate Deaths due to the surgical opening of the skull performed to remove a brain tumor, repair an aneurysm (ballooning of blood vessels), perform a biopsy or to relieve pressure inside the skull. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 3.17% 0.00% 3.64% 5.56% 11.11% 10.00% 1.52% 8.24% 2.82% 4.30% Risk adjusted 6.32% 1.88% 4.42% 8.41% 9.90% 11.34% 3.14% 10.32% 2.82% 4.99% Ontario average 9.37% 9.82% 9.63% 8.15% 7.59% 6.74% 7.86% 7.51% 9.15% 8.34% Compare this indicator against other municipalities in Ontario Hip replacement mortality rate Deaths due to hip replacement surgery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% Risk adjusted 0.21% 0.24% 0.26% 0.30% 0.27% 0.05% 0.27% 0.25% 0.00% 0.00% Ontario average 0.56% 0.39% 0.4% 0.42% 0.45% 0.58% 0.32% 0.5% 0.53% 0.48% Compare this indicator against other municipalities in Ontario Acute myocardial infarction (AMI) mortality rate Deaths from heart attacks. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 9.66% 10.11% 8.99% 10.69% 7.11% Risk adjusted - - - - - 12.08% 12.85% 11.39% 16.44% 11.64% Ontario average - - - - - 12.95% 13.77% 13.91% 16.87% 14.73% Compare this indicator against other municipalities in Ontario Congestive heart failure (CHF) mortality rate Deaths due to heart failure. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 9.83% 7.45% 5.99% 10.03% 5.63% 7.65% 6.27% 9.55% 9.38% 10.41% Risk adjusted 11.37% 9.26% 7.16% 11.02% 7.06% 8.57% 7.71% 10.62% 12.84% 10.10% Ontario average 11.38% 11.23% 11.11% 10.17% 10.09% 10.25% 10.49% 10.06% 12.31% 11.47% Compare this indicator against other municipalities in Ontario Acute Stroke mortality rate Deaths from acute strokes. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 21.60% 12.57% 23.03% 10.63% 13.81% 14.01% 11.00% 16.99% 14.96% 16.13% Risk adjusted 20.26% 12.06% 23.54% 10.31% 12.83% 17.48% 13.22% 18.88% 15.15% 17.18% Ontario average 21.61% 21.01% 20.61% 19.64% 19.84% 21.55% 22.55% 21.41% 23.34% 23.6% Compare this indicator against other municipalities in Ontario Gastrointestinal hemorrhage mortality rate Deaths due to bleeding from the esophagus, stomach, small intestine or colon. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 3.39% 2.49% 2.81% 4.84% 3.00% 2.08% 3.83% 2.09% 3.52% 1.38% Risk adjusted 1.33% 0.64% 1.09% 1.88% 0.89% 2.94% 3.97% 2.67% 5.26% 1.65% Ontario average 4.11% 3.74% 3.07% 3.28% 3.09% 3.75% 4.15% 3.91% 4.66% 5.44% Compare this indicator against other municipalities in Ontario Hip fracture mortality rate. Deaths due to hip fractures. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 8.25% 6.35% 5.94% 6.67% 9.70% 2.17% 9.60% 6.90% 3.97% 2.61% Risk adjusted 8.40% 8.07% 7.00% 6.78% 10.43% 4.79% 10.21% 7.85% 6.08% 8.30% Ontario average 8.05% 7.69% 7.31% 6.61% 6.92% 7.19% 8.14% 7.38% 11.87% 9.28% Compare this indicator against other municipalities in Ontario Pancreatic resection surgery volume view methodology Numbers of procedures involving the surgical removal of the pancreas in an attempt to cure pancreatic cancer. Numbers above 10 are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed - - 6 - - - - - - - Risk adjusted - - - - - - - - - - Ontario total 146 141 145 179 178 174 174 210 284 316 Compare this indicator against other municipalities in Ontario Pneumonia mortality rate Death due to a condition involving an infection in the lungs. Lower rates are more desirable. The results for the Pneumonia mortality rate indicator may be affected by a potential data quality issue, owing to miscoding of activities at the hospital level. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 16.61% 9.24% 10.34% 10.46% 6.46% 8.48% 14.50% 15.43% 10.67% 12.84% Risk adjusted 20.35% 13.44% 14.04% 13.44% 10.29% 12.18% 17.66% 17.09% 12.61% 15.91% Ontario average 16.87% 16.63% 16.44% 16.08% 15.59% 16.64% 17.31% 17.16% 17.54% 16.84% Compare this indicator against other municipalities in Ontario Cesarean delivery Surgical removal of a baby through the mother's abdomen. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 29.88% 31.94% 31.87% 31.48% 32.35% Risk adjusted - - - - - 28.73% 30.67% 30.60% 29.65% 30.45% Ontario average - - - - - 25.48% 27.75% 28.15% 28.83% 28.89% Compare this indicator against other municipalities in Ontario Vaginal birth after cesarean (VBAC), uncomplicated Rate of vaginal births that occurred in mothers who had delivered previously by Cesarean section. Higher rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 14.16% 13.89% 14.29% 11.73% 10.56% Risk adjusted - - - - - 14.40% 14.10% 14.55% 11.72% 10.57% Ontario average - - - - - 22.16% 19.8% 17.31% 15.8% 15.27% Compare this indicator against other municipalities in Ontario Laparoscopic cholecystectomy Minimally invasive removal of the gall bladder, a small pear-shaped sac that stores and concentrates bile, which is needed for digestion. Higher rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 85.21% 90.98% 86.03% 78.61% 80.16% 82.22% 86.81% 85.37% 84.62% 88.00% Risk adjusted 83.58% 90.41% 84.03% 78.08% 80.97% 82.10% 86.47% 84.63% 83.53% 87.44% Ontario average 78.17% 77.05% 76.07% 75.73% 75.63% 76.5% 76.51% 79.46% 79.7% 80.76% Compare this indicator against other municipalities in Ontario Incidental appendectomy among elderly Removal of the appendix at the time of another necessary abdominal surgery. This procedure is performed to eliminate the risk of future appendicitis (inflammation of the appendix). Incidental appendectomy is generally not recommended in the elderly because they have both a lower risk for developing appendicitis and a higher risk of complications after surgery (calculated for patients 65 years or older). Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - - - Score View View View View View - - - - - Observed 1.47% 1.83% 1.48% 1.17% 0.72% - - - - - Risk adjusted 1.78% 1.89% 1.52% 1.22% 0.79% - - - - - Ontario average 1.31% 1.28% 1.18% 1.16% 1% - - - - - Compare this indicator against other municipalities in Ontario Bi-lateral cardiac catheterization A diagnostic test performed to see if the blood vessels to the heart are narrowed or blocked. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - - - Score View View View View View - - - - - Observed 3.61% 1.97% 4.65% 2.24% 3.63% - - - - - Risk adjusted 5.76% 3.02% 6.45% 3.17% 5.22% - - - - - Ontario average 5.54% 4.16% 3.39% 3.73% 3.04% - - - - - Compare this indicator against other municipalities in Ontario Percutaneous Transluminal Coronary Angioplasty (PTCA) mortality rate Deaths due to a non-surgical procedure performed to open blockages in the arteries that carry blood to the heart. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - View View View View Score View View View View View - View View View View Observed 0.78% 0.00% 0.00% 0.00% 0.00% - 1.27% 1.77% 1.59% 1.98% Risk adjusted 2.13% 1.17% 1.05% 1.34% 1.03% - 1.49% 2.48% 0.77% 0.58% Ontario average 1.67% 1.66% 2.13% 2.14% 1.96% - 1.71% 1.82% 0.71% 0.48% Compare this indicator against other municipalities in Ontario Carotid endarterectomy mortality rate Deaths due to a procedure that removes blockages from arteries in the neck to reduce the chance of stroke and brain damage. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View View View View View View Score View View View View View View View View View View Observed 3.85% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% Risk adjusted 3.10% 0.00% 0.32% 0.32% 0.26% 0.26% 0.00% 0.00% 0.00% 0.00% Ontario average 1.7% 0.82% 1.27% 0.98% 0.84% 0.84% 0.75% 1.01% 1.36% 0.7% Compare this indicator against other municipalities in Ontario Acute myocardial infarction (AMI) mortality rate (without transfers) Deaths from heart attacks; excludes patients transferred from another short term hospital. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 11.11% 21.05% 27.50% 11.36% 7.05% Risk adjusted - - - - - 7.34% 23.77% 26.03% 18.76% 12.51% Ontario average - - - - - 17% 18.05% 18.18% 18.53% 16.6% Compare this indicator against other municipalities in Ontario Primary cesarean delivery Surgical removal of a baby through the mother's abdomen during the first birth inclusively. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 20.67% 22.62% 21.90% 21.59% 21.74% Risk adjusted - - - - - 20.52% 22.44% 21.74% 21.10% 21.27% Ontario average - - - - - 18.99% 20.77% 20.72% 20.99% 20.85% Compare this indicator against other municipalities in Ontario Vaginal birth after cesarean (VBAC), all Rate of vaginal births that occurred in mothers who had delivered previously by Cesarean section. Higher rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 15.30% 14.39% 14.03% 11.85% 11.12% Risk adjusted - - - - - 15.58% 14.62% 14.34% 11.89% 11.17% Ontario average - - - - - 22.27% 19.76% 17.35% 15.91% 15.47% Compare this indicator against other municipalities in Ontario Abdominal Aortic Artery (AAA) Repair volume view methodology Numbers of procedures to repair the major artery carrying blood from the heart to the lower part of the body. Numbers above 20 are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed 16 17 19 24 9 - - - - - Risk adjusted - - - - - - - - - - Ontario total 1682 1649 1607 1528 1313 - - - - - Compare this indicator against other municipalities in Ontario Coronary Artery Bypass Graft (CABG) volume view methodology Numbers surgeries performed to allow blood to bypass a clogged artery. Numbers above 100 are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed 173 212 210 200 219 212 269 299 253 270 Risk adjusted - - - - - - - - - - Ontario total 8519 8751 9045 9225 9368 9164 9128 9378 9226 8712 Compare this indicator against other municipalities in Ontario Percutaneous Transluminal Coronary Angioplasty volume (PTCA) view methodology Number of procedures performed to open blockages in the arteries that carry blood to the heart. Numbers above 200 are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed 129 151 178 202 248 - 161 228 275 239 Risk adjusted - - - - - - - - - - Ontario total 5897 6956 7884 9724 11903 - 12874 14540 13638 13710 Compare this indicator against other municipalities in Ontario Carotid endarterectomy volume view methodology Number of procedures performed to remove blockages from arteries in the neck to reduce the chance of stroke and brain damage. Numbers above 50 are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - - - - - - Score - - - - - - - - - - Observed 26 17 24 24 26 19 15 12 10 13 Risk adjusted - - - - - - - - - - Ontario total 1816 1849 1730 1683 1523 1219 1311 1315 1278 1304 Compare this indicator against other municipalities in Ontario Esophageal resection surgery mortality rate Deaths due to the surgical removal of the tube that connects the mouth to the stomach, often due to esophageal cancer. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - View - - - - View - - Score - - View - - - - View - - Observed - - 0.00% - - - - 0.00% - - Risk adjusted - - 4.59% - - - - 8.02% - - Ontario average 13.79% 16.51% 13.66% 14.55% 14.73% 12.9% 9.91% 10.41% 22.87% 7.23% Compare this indicator against other municipalities in Ontario Pancreatic resection surgery mortality rate Deaths due to the surgical removal of the pancreas in an attempt to cure pancreatic cancer. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - View - - - - - - - Score - - View - - - - - - - Observed - - 16.67% - - - - - - - Risk adjusted - - 16.91% - - - - - - - Ontario average 12.89% 9.91% 7.91% 8.09% 5.37% 11.35% 6.75% 4.37% 10.59% 9.47% Compare this indicator against other municipalities in Ontario * Note: It is not possible to compare data from 1997-2001 with data from 2002-2005 because of the change in coding classification.

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