Dr Foster's Case Notes

CHI ratings and HSMRs: is there a relation?

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7457.73 (Published 08 July 2004) Cite this as: BMJ 2004;329:73
  1. Brian Jarman,
  2. Paul Aylin,
  3. Alex Bottle
  1. Dr Foster Unit, Imperial College

    The measurement of acute hospital performance is an issue of intense political interest. In England, the Department of Health has published star ratings for NHS units based on a range of different indicators. This system, in which higher numbers of stars (up to a maximum of three) are intended to indicate higher quality, has now been extended to cover other NHS organisations. The Commission for Health Improvement (CHI) (now subsumed into the Healthcare Commission) also conducts on-site inspections that give hospitals scores for a variety of issues related to quality of care.

    First we analysed whether there is a relation between the star ratings and hospital standardised mortality …

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