Public Reporting

The 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




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




     Methicillin Resistant Staphylococcus Aureus




     Vancomycin Resistant Enterococci




   Surgical Safety Checklist




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




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




     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.


We are committed to providing a safe, secure and respectful environment for our patients, staff and visitors
and will not tolerate any form of violent, abusive or aggressive behaviour.