NAHM Annual Report 2018

The report presents information across six medical conditions: acute myocardial infarction (AMI) / heart attack, heart failure, ischaemic stroke, haemorrhagic stroke, chronic obstructive pulmonary disease (COPD) and pneumonia.

The report presents information across six medical conditions: acute myocardial infarction (AMI) / heart attack, heart failure, ischaemic stroke, haemorrhagic stroke, chronic obstructive pulmonary disease (COPD) and pneumonia.

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Key Findings

This report presents hospital mortality information in a clear and transparent manner, which will be of interest to patients, the public at large and health care professionals.

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Key Recommendations

  • Hospitals should nominate one accountable person at an executive level to monitor and respond to the NQAIS NAHM web based tool.
  • Guidance developed between the Healthcare Pricing Office and the National Clinical Programme for Palliative Care on how to define when code Z51.5 palliative care is applied, (following the change to the 10th Edition of the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification/Australian Classification of Health Interventions/Australian Coding Standards (ICD-10-AM/ACHI/ACS) in January 2020), should be shared with all clinicians in order to ensure consistency in documentation and application of the palliative care code.
  • NAHM will input to NOCA’s programme of paediatric audits, when established, to ensure that NAHM is linked to existing paediatric mortality data.
  • The NQAIS NAHM Analysis and Display Scientific Team should amend the “fracture neck of femur” Clinical Classifications Software (CCS) group in NQAIS NAHM to reflect the same codes as those used by the Irish Hip Fracture Database (IHFD), which will allow triangulation to the IHFD audit.
  • The NQAIS NAHM Analysis and Display Scientific Team should monitor international mortality tools for any changes to risk modelling in paediatric mortality. It should also explore developing the NQAIS NAHM web-based tool to support an extract of paediatric data to assist hospitals in their interpretation.