Archive Publication of 2014 Irish Maternity Indicator System National Report

Publication of 2014 Irish Maternity Indicator System National Report

The HSE has today published the first Irish Maternity Indicator System (IMIS) National Report.

 This report is the first annual national account of activity and outcomes of maternity care in Ireland. It demonstrates measurement, analysis, and comparison of maternity activities and clinical outcomes nationally in 2014.

 The report will allow clinicians, senior management, and healthcare professionals to own and compare activity and clinical outcomes over time within the 19 maternity hospitals. It will facilitate comparison between hospitals both nationally and within Hospital Groups and allows activity and the clinical outcomes to be interpreted in an appropriate context.

Commenting on the publication of the report Professor Michael Turner, Lead of the National Clinical Programme in Obstetrics & Gynaecology said; “The HSE is committed to supporting maternity services by producing robust and clinically meaningful information in a timely manner. The publication of this report should provide reassurance for the general public, maternity staff, and those with wider interests in the maternity services that our hospitals continue to provide safe, high quality care for mothers and their babies. It is our intention to sustain and develop this work further in the future. We encourage clinicians to take ownership of their own hospital data such that the IMIS becomes embedded in the day-to-day practice of staff in maternity units.”

IMIS contains 30 indicators across five domains: Hospital activities, neonatal metrics, laboratory metrics, obstetric metrics, and deliveries. Standardised definitions were applied to all indicators so that maternity units can reliably assess their performance over time and can benchmark their performance against national rates. This first national report for 2014, published today, identifies variation between maternity units, particularly in rates of maternal and in-utero transfers, EPAU first visits, obstetric emergencies, and non-spontaneous deliveries.

The system was developed in 2014 by the Clinical Programme in Obstetrics & Gynaecology in partnership with the Acute Hospitals Division in response to national recommendations by the HSE and HIQA. It meets the requirements of a number of national reports, including the Report of the Chief Medical Officer on Perinatal Deaths (February 2013), the Safety Incident Management Policy (June 2014), and recommendations by Dr Peter Boylan (May 2015). It provides data for the Maternity Patient Safety Statement and is also aligned with the forthcoming national Maternal and Newborn Clinical Management System (MN-CMS), which is scheduled to be operational in all maternity units by 2018. It has been reviewed by relevant clinicians, obstetricians, midwives, and senior managers.

One of the most valuable outcomes of the introduction of the IMIS to date is the relative speed of adoption: Within the first year of implementation, IMIS has become embedded in hospital processes and staff are steadily becoming more proficient with data collection and data review.

 The IMIS National Report 2014 is available here to download.

Last updated on: 16 / 03 / 2016