Welcome Guest.
Iasist presents the results from the seventh edition of the TOP 20 Hospitals programme.
143 centres were included in the seventh edition of the TOP 20 Hospitals programme which analyses how hospitals operated during 2005. Out of this number, 116 (81.1%) are National Health Service (SNS) centres which mainly care for Social Security patients and 27 (18.9%) were mainly dedicated to treating purely private patients or patients with private insurance. SNS hospitals participating in this study constitute 52.5% of the total SNS centres.
Aspects most emphasised in this edition
Methodology
This edition introduces an important modification in the hospital classification, a complex methodological aspect given the difficulties to construct homogeneous groups which can be compared in a reasonable way. Always abiding by the classification of hospital levels according to their size and complexity of the service offer, a differentiation has been introduced according to the centre's management model which is basically characterised by the type of contractual relationship that the health professionals have with the institution and the economic management framework. So, statutory model hospitals (statutory personnel and administrative budget management) are thereby differentiated from the labour model (personnel with labour relations and mercantile financial management). This differentiation has only been applied to general and district hospitals as the labour model in large hospital centres is exceptional.
Introducing this differentiation gives a more equal assessment regarding the initial conditioning factors' (environment and instruments) bearing on the professional and management teams running the hospital activity, as statutory model hospitals demonstrate greater difficulties to adapt to changes due to historical, political and regulatory variants.
Clinical Areas - Heart Area Benchmarks (second edition)
Iasist is presenting the Heart Area benchmarks for the second time. This is a specific report derived from the TOP 20 Hospitals programme which evaluates three very frequent processes: congestive cardiac failure (CCF) and coronary ischemic disease, whether in medical/pharmacological treatment (acute myocardial infarction - AMI), percutaneous treatment (percutaneous transluminal coronary angioplasty-PTCA) or surgical treatment (coronary bypass).
The Heart Area assessment included 124 of the centres participating in the "TOP 20 Hospitals" programme in 2006, who attended more than 30 cases in each of the processes analysed. The indicators which were assessed were, in all cases, mortality, the rate of emergency re-admissions after 30 days and the average stay. In the surgical cases we added infection rates and post-surgical haemorrhage and the percentage of bypasses carried out with the mammary artery, a quality indicator which is highly rated by heart surgeons.
Organising the conference
Company associated with the programme
