This website places cookies on your device to help us improve our service to you. To find out more about the cookies, see our Privacy and Cookies notice
ISD Scotland better information, better decisions, better health

Topic Areas

Indicators

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Indicators

In September 2011, Healthcare Improvement Scotland (HIS) published the Heart Disease Improvement Programme National Overview. This report included a potential suite of 14 high level heart disease indicators sourced from routinely collected data. These indicators were chosen as they had the "potential to inform improvements in the quality of care and patient experience". 1 In addition, there had been a set of heart disease indicators included in the medical profiles produced by ISD's quality improvement team and HIS. There was considerable overlap between these two sets of indicators and in February 2013, a small short-life working group, including specialists in cardiology, was formed to provide advice on producing one set of definitions for heart disease indicators.

The latest 'Heart Disease Indicators' publication is an update of the September 2014 publication and presents a selection of the indicators for the period 1st October 2013 to 30th September 2014 by health board of residence of the patient. Information is provided for a range of cardiovascular-related conditions and procedures in Scotland, including:

  • Congestive heart failure (CHF).
  • Heart attacks (also known as myocardial infarction (MI) and including two main subtypes, STEMI and NSTEMI). 2
  • Angioplasty (also known as percutaneous coronary intervention or PCI), a procedure commonly used to treat coronary heart disease.
  • Coronary artery bypass graft (CABG).

The measures used include:

  • Mean and median length of stay in days.
  • Proportion (%) of emergency readmissions within 30 days of discharge from hospital.
  • Rate of mortality within 30 days of discharge from hospital following an emergency or urgent admission to hospital.
  • Rate of in-hospital mortality following an emergency or urgent admission to hospital.

The indicators are derived from:

  • Scottish Morbidity Record (SMR01) hospital discharge summary on inpatient and day-case activity in hospitals.
  • National Records of Scotland (NRS) death registration.

ISD routinely links these independent sources of data at patient level to form 'patient record sets'.

It is important to note that the indicators in this publication cannot be used alone as a basis for making reliable judgements about the quality of clinical care. Attempting to do so could easily lead to incorrect conclusions being drawn. Instead, the indicators serve as flags or pointers, drawing attention to areas worthy of further consideration. Local and expert knowledge is required to interpret the data meaningfully.

Heart Disease Indicators October 2013 - September 2014

This was published on 22nd September 2015. A publication report sumary and data tables can be accessed by clicking the links below.

Publication Report Download PDF file [2.9Mb]

Publication Summary Download PDF file [948Kb]

Data TablesDownload Excel file [1,258Kb]

Heart Disease Indicators October 2012 - September 2013

This was published on 30th September 2014. A publication report sumary and data tables can be accessed by clicking the links below.

Publication Report Download PDF file [1.4Mb]

Publication Summary Download PDF file [670Kb]

Data TablesDownload Excel file [760Kb]

References

1. Heart Disease Improvement Programme National Overview - Take Heart, September 2011.

2 STEMI is an ST segment elevated myocardial infarction. STEMI is a non-ST segment elevated myocardial infarction. See sections 3 and 4 of the publication for more information.

© ISD Scotland 2010
Information Services Division,
NHS National Services Scotland,
Gyle Square,
1 South Gyle Crescent,
Edinburgh EH12 9EB,
Tel: 0131 275 7050
NSS.isdSHIS@nhs.net  
Contact Us

About Information Services Division | Contact Us | Accessibility | Complaints
Copyright | Terms and Conditions | Privacy | Freedom of Information

ISD is a division of NHS NSS
Working at the very heart of the health service, NSS delivers services critical to frontline patient care and in support of the efficient and effective operation of NHS Scotland. Visit the NSS Website for more information