The Canadian Institute on Health Information (CIHI) has released statistics for hospitals across Canada that measure mortality rates. The Hospital Standardized Mortality Ratio (HSMR) is an overall quality indicator that compares the actual number of deaths in a hospital to a national standard. The report revealed RVH’s performance in 2011 – 2012 was a ratio of 96, compared to a ratio of 106 the previous year. When tracked over time, the HSMR indicates how successful hospitals or health regions have been in reducing avoidable hospital deaths, through strengthening patient safety and quality of care.

“Patient safety is RVH’s highest priority, and residents across Simcoe Muskoka can be assured that we are committed to ensuring patients and their families receive the best care possible. RVH has many programs and procedures dedicated to constantly improving quality and patient safety,” says Janice Skot, RVH President and Chief Executive Officer. “We embrace any effort to measure the care our patients receive because it provides an opportunity to learn and improve. Public reporting of this kind of measurement ensures hospitals remain transparent and accountable.”

An HSMR equal to 100 suggests that there is no difference between a local mortality rate and the national experience. The HSMR is calculated as a ratio of the actual number of deaths to the expected number of deaths among patients in acute care hospitals. Simply put, a rate below 100 means hospital’s mortality rate is lower than the expected number; a rate greater than 100 suggests the hospital’s mortality rate is higher than the expected rate.


The calculation is as follows:
The number of actual observed deaths x 100
The number of expected deaths

To view HSMR rates for all reporting hospitals, please go to the Canadian Institute for Health Information