Prince George, B.C. - Prince George Regional Hospital is one of 95 acute care facilities in the province included in the Fraser Institute’s Report Card on Hospitals. The report card has mixed results for PGRH , but the authors of the report say the positive news is that Hospitals can now see where they need to improve.
The study uses 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 hospitals in British Columbia. All of the information in the hospital report card is available here.
“If you have a greater chance of dying from a heart attack in one hospital compared to another, or if there is a greater chance of having a foreign object left inside of you following surgery, isn’t that something you would want to know?” said Nadeem Esmail, the Institute’s director of health system performance studies and co-author of the hospital report card.
“Providing the public with accurate information on the performance of public institutions, whether it’s hospitals or schools, is the first step towards encouraging improvement. Both patients and care providers benefit from knowing where the standard of care might be improved and where examples of excellence might be found.”
The report card provides performance measurements for specific procedures and conditions and specific areas of care as well as broader measures of quality and safety in its 39 indicators.
“While some hospitals may score poorly in certain areas or indicators, they may do better in others. The BC hospital report card allows the public and policy makers to better understand where their local hospital may be doing well and where it may need to improve,” Esmail said.
For Prince George Regional Hospital, it ranks better than the Provincial average on some of the indicators, and below the Provincial average on others.
Here are some of the indicators as they apply to Prince George Regional Hospital.
Hospital Mortality Index:
The Hospital Mortality Index is an index of death rates by individual hospital or municipality.
MEASURE
Year
01-02
02-03
03-04
04-05
05-06
06-07
Rank
19
2
20
34
14
3
Score
76
82
73
67
68
80
Observed
-
-
-
-
-
-
Risk adjusted
-
-
-
-
-
-
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
01-02
02-03
03-04
04-05
05-06
06-07
Rank
1
1
1
1
46
1
Score
100
100
100
100
62
100
Observed (per thousand)
0.0
0.0
0.0
0.0
1.6
0.0
Risk adjusted (per thousand)
0.0
0.0
0.0
0.0
0.8
0.0
British Columbia average (per thousand)
0.1
0.1
0.1
0.1
0.1
0.4
Post-operative respiratory failure
Development of respiratory failure occurring in patients after undergoing elective surgery. Lower rates are more desirable.
MEASURE
Year
01-02
02-03
03-04
04-05
05-06
06-07
Rank
1
38
1
38
30
33
Score
100
88
100
90
85
93
Observed (per thousand)
0.0
1.0
0.0
1.9
0.9
1.9
Risk adjusted (per thousand)
0.0
1.7
0.0
3.2
1.4
2.8
British Columbia average (per thousand)
0.8
1.4
1.7
2.1
1.9
2.7
Post-operative sepsis
Patients that undergo elective surgeries and subsequently develop a hospital-acquired infection. Lower rates are more desirable.
MEASURE
Year
01-02
02-03
03-04
04-05
05-06
06-07
Rank
35
40
1
1
32
1
Score
89
88
100
100
90
100
Observed (per thousand)
3.1
5.7
0.0
0.0
2.7
0.0
Risk adjusted (per thousand)
3.6
6.7
0.0
0.0
2.8
0.0
British Columbia average (per thousand)
3.2
4.1
4.6
4.3
4.2
6.2
Transfusion reaction
Patients with blood transfusion reactions. Lower rates are more desirable.
MEASURE
Year
01-02
02-03
03-04
04-05
05-06
06-07
Rank
1
1
1
1
1
1
Score
100
100
100
100
100
100
Observed (per thousand)
0.0
0.0
0.0
0.0
0.0
0.0
Risk adjusted (per thousand)
-
-
-
-
-
-
British Columbia average (per thousand)
-
-
-
-
-
-
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
01-02
02-03
03-04
04-05
05-06
06-07
Rank
37
32
13
42
28
34
Score
79
70
84
39
68
68
Observed (per thousand)
3.6
2.9
1.5
5.5
3.1
5.2
Risk adjusted (per thousand)
5.2
4.3
2.5
8.3
4.4
6.9
British Columbia average (per thousand)
4.2
3.7
4.3
4.8
4.5
5.7
Failure to Rescue
Deaths in patients that developed specified complications of care during hospitalization. Lower rates are more desirable.
MEASURE
Year
01-02
02-03
03-04
04-05
05-06
06-07
Rank
37
30
41
46
44
28
Score
67
65
45
44
14
57
Observed (per thousand)
338.2
250.0
223.5
326.7
235.8
201.5
Risk adjusted (per thousand)
301.1
233.1
273.5
338.8
236.5
209.9
British Columbia average (per thousand)
239.7
221.6
215.9
203.4
180.6
199.1
Foreign body left during procedure
Foreign object left in a patient during a procedure. Lower rates are more desirable.
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