Sheba, Hadassah Ein Kerem and Hadassah Mount Scopus, Carmel, HaEmek, Beilinson, Ziv and Laniado hospitals meet all the goals of the quality of care indices and all received a score of 10. Hospitals with lower scores were Soroka, Meir and Bnei Zion (9.7), and Barzilai and the Holy Family in Nazareth (9.4).
Low and inadequate grades were given to the milk drops and psychiatric hospitals. Mazor Mental Health Hospital received a score of 7.4, Ma'ale Carmel 8.8 and Sha'ar Menashe 9.
Barzilai Hospital in Ashkelon, photo: Rafael Ben Ari
The data are published this morning in the Ministry of Health's Care Quality Indices Report. The program measures more than 80 quality indicators throughout the health system: general, geriatric, rehabilitation, psychiatric hospitals, Tipat Halav stations, as well as ambulance companies and dialysis centers (the HMOs have another parallel program).
Among the indicators: development tests in a milk drop, cardiac catheterization within 90 minutes, aspirin for patients with chest pain during ambulance evacuation, femoral neck fracture surgery within 48 hours, preventive antibiotic treatment before various surgeries, detection of postpartum depression, detailed risk of illness for those released from psychiatric hospitalization, and more.
Evacuation by ambulance (illustration), photo: Liron Moldovan
The average waiting time for an initial triage test was 8 minutes (the same as in the previous year). It was found that during the morning and afternoon shifts the waiting time is longer (9 minutes) and on Saturdays shorter - 7 minutes.
Hospital rating, photo: Oren Ben Hakon
Where will you wait the longest for an initial ER check-up? Barzilai (15 minutes), Hadassah Mount Scopus (13), Mayanei HaYeshua and Hasharon (12) and Sheba and Schneider hospitals (11).
Long wait in the ER. Hadassah Mount Scopus, photo: Adiel Lu / Wikipedia
The hospitals where the wait from entering the emergency room to the initial emergency room by a nurse is only 4 minutes and is the shortest are Ziv, Wolfson and Laniado.
Israel leads
93% of patients with myocardial infarction who arrive at hospitals undergo urgent therapeutic catheterization within 90 minutes. Israel leads in this index compared to the UK and Australia (where 87% and 85% of patients were catheterized within 90 minutes).
However, women in Israel are catheterized more slowly than men (90% of women compared to 94% of men underwent catheterization within an hour and a half). Those aged 64-18 were catheterized slightly faster than those aged 65 and older.
Israel leads. Cardiac catheterization (illustration), photo: GettyImages
The likelihood of receiving rapid treatment during the morning shift (95%) is higher than the evening shift (92%) and the night shift (91%). This year, all hospitals met this goal.
The indices also show that most hospitals, especially the smaller ones, do not meet the goal of reducing repeated emergency room requests. The average in Israel is 5.5%, with the goal set being that only 5% of those discharged from the emergency room will return to the emergency room within 48 hours. A high percentage of repeat visits may indicate an inadequate diagnosis, or a lack of clear instructions for the patient.
During a stroke, every minute that passes means damage to brain cells. One of the oldest measures in the program is the median time from admission to the hospital until an imaging examination (CT or head MRI). Hospitals met the average target of 25 minutes. By comparison, when measured in 2018, the duration was 28 minutes, and the American Stroke Association recommends only 20 minutes.
Ichilov: One of the largest emergency rooms in the world opens || Cinematography: Gil Kramer
In this indicator, too, there are gaps to the detriment of women: men undergo an imaging test in an average time of 25 minutes and women 27 minutes.
The hospitals with the longest waits are Rambam, Laniado (37 minutes); Hadassah Ein Kerem (31 minutes); Soroka, Carmel, Meir and Nazareth (30 minutes). The shortest waits were measured in Wolfson (19 minutes), Nahariya and Ziv (18) and Assuta Ashdod (16).
In the psychiatric wards of general hospitals, the median duration of binding of patients in psychiatric hospitalization was examined. No target for the index has yet been set, but from comparison to the world, there is variation between countries: from tying up for an average of 7 minutes per patient in Ireland to 851 minutes in the Netherlands. Barzilai measured 115 minutes, Sheba 120 minutes and Hadassah Ein Kerem 130 minutes.
Unsatisfactory grade, Tipat Halav (illustration), photo: Jonathan Shaul
Last year, psychiatric hospitals also submitted reports, but this year they did not cooperate with the measurement, and the Ministry of Health will have to stop examining this important measure.
Measures examined in government milk drops or those of the health funds, such as vaccination or growth tests, received relatively low scores.
An index examining the percentage of children aged 6-4 who underwent a developmental test shows that only 23% of children underwent such a test, with the target being 25% of children. In the Arab Israeli sector, the percentage of children tested is 32%, higher than in the Jewish sector (21%). In general, 25 per cent of children were tested in Maccabi and Leumit, compared to only 12 per cent in the milk drops in Tel Aviv and 10 per cent in Jerusalem.
Director General of the Ministry of Health, Moshe Bar Siman Tov (archive), photo: Oren Ben Hakon
The Quality Indicators Program marks its tenth anniversary, and next year will be joined by metrics that will be reported by patients themselves. These are outcome measures that can reflect the impact of various treatments on treatment outcomes and on the patient's well-being from the patient's point of view and voice.
"Patient voices"
Minister of Health Moshe Arbel: "This year, the Ministry of Health took significant steps to improve the quality of health services, and in addition to general hospitals, geriatric and psychiatric hospitals, Tipat Halav stations and dialysis centers were also examined. We will continue to focus on patient-centric policies and will also bring patient voices as part of the program updates as new metrics enable us to gain important insights into the impact of treatments and interventions on the lives and health of many patients."
Minister of Health Moshe Arbel, photo: Oren Ben Hakon
Moshe Bar Siman Tov, Director General of the Ministry of Health: "The picture of the indices highlights the need to connect the world of indicators in the community to the national program for quality indices. Centralizing quality indicators throughout the care chain and managing them at the national level will enable improvement in the quality of care."
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