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Hospital Mortality Index

The Hospital Mortality Index was created to allow examination of the overall performance of a hospital or municipality across several mortality indicators. The mortality indicators selected to create the Hospital Mortality Index were those indicators that successfully passed through three filters: sample size, size bias and sample coverage.

The mortality indicators included in the Hospital Mortality Index are:

  • Hip Replacement Mortality
  • Congestive Heart Failure Mortality
  • Acute Stroke Mortality
  • Acute Myocardial Infarction Mortality*
  • Gastrointestinal Hemorrhage Mortality
  • Hip Fracture Mortality
  • Pneumonia Mortality
  • Deaths among patients that are considered unlikely to die in the hospital
  • Deaths among patients that developed specified complications of care during hospitalization

* Not included prior to 2002/03.

The final HMI index score is based on equal-weight components of the separate indicators listed above.  For example, if an institution’s score on the 9 components contained in the HMI was: 76, 82, 64, 97, 89, 72, 91, 88, 90, then the HMI score would be:

76 + 82 + 64 + 97 + 89 + 72 + 91 + 88 + 90    =     83
                             9

All institutions were then ranked based on their HMI score, where a rank of (1) corresponds to the highest score out of 100.

 
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