NAHM Annual Report 2016 Key Findings

CARDIOVASCULAR KEY DIAGNOSES
Acute myocardial infarction (AMI): Between 2007 and 2016, the national in-hospital mortality rate following admission with AMI showed a significant (40%) reduction. In 2016, one hospital had an SMR which was outside the expected range for AMI and this has been reviewed by the hospital.
The Healthcare Pricing Office (HPO) is consulting with the National Centre of Classification in Health (NCCH) at The University of Sydney who support and develop the Australian Coding Standards and are also working with the Clinical Care Programmes, to clarify the guidelines for sequencing of coding of AMI patients.
Heart failure: Between 2007 and 2016, the national in-hospital mortality rate following admission with heart failure showed a small but significant reduction. In 2016, all hospitals had an SMR within the expected range for heart failure.
Ischaemic stroke: Between 2007 and 2016, the national in-hospital mortality rate following admission with ischaemic stroke showed a significant (36%) reduction. In 2016, one hospital had an SMR outside the expected range for ischaemic stroke and this has been reviewed by the hospital.
Haemorrhagic stroke: Between 2007 and 2016, the national in-hospital mortality rate following admission with haemorrhagic stroke did not show a significant reduction. Between 2014 and 2016, all hospitals had an SMR within the expected range for haemorrhagic stroke.
RESPIRATORY KEY DIAGNOSES
Chronic obstructive pulmonary disease (CO PD): Between 2007 and 2016, the national in-hospital mortality rate following admission with COPD showed a small but significant reduction. In 2016 all hospitals had an SMR which was within the expected range for COPD.
Pneumonia: Between 2007 and 2016, the national in-hospital mortality rate following admission with pneumonia showed a small but significant reduction. In 2016 all hospitals had an SMR which was within the expected range for pneumonia.
Documentation and coding of principal diagnosis remains a challenge as identified in the hospital review summaries contained in this report.