Public Reporting

logoThe Public Hospitals Act was amended August 9, 2008 Regulation 257/08 to enable reporting requirements for hospitals.

Renfrew Victoria Hospital closely monitors patient safety indicators including:

Code Indicator and Infection Rate Data

CDAD Clostridium Diffcile Associated Diarrhea

Hospital Standardized Mortality Ratio - RVH an Ineligible

HSMR Hospital.

  • Canadian Institute for Health Information (CIHI) has not released results for hospitals, like Renfrew Victoria Hospital, with less than 2,500 HSMR cases because they have deemed the results less stable and, therefore, less reliable.
  • Due to the less stable, and therefore less reliable, results our hospital, based by CIHI’s statistical threshold for public reporting will not be releasing our HSMR results. To do so would risk inaccurately representing our hospital – positively or negatively – this year and in the years ahead.
  • I would encourage you to e-mail hsmr@cihi or contact Eugene Wen, Manager Indicator Development at CIHI at (416) 544-5570 should you have any questions about why HSMR results for hospitals with less than 2,500 cases are less stable and reliable.CIHI would be happy to answer any questions about statistical threshold and public reporting for HSMR.
  • Want to understand more about HSMR? Questions & Answers about HSMR


MRSA Methicillin Resistant Staphylococcus Aureus

VRE Vancomycin Resistant Enterococci

SSCLI Surgical Safety Checklist

CLI Central Line Infection - RVH is considered ineligible hospital for reporting on this indicator due to low volumes of patients with these devices

VAP Ventilator Associated Pneumonia - RVH is considered an ineligible hospital for reporting on this indicator due to low volumes of patients with these devices.

HH Hand Hygiene Compliance

Indicators must be disclosed to MOHLTC by the 15th of each month (data from preceding month) where it will be checked for accuracy. There is also a requirement for each hospital to post data on hospital web site by month end to coincide with simultaneous public posting on MOHLTC website.