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Summary Hospital-level Mortality Indicator research and development

The Summary Hospital-level Mortality Indicator (SHMI) methodology is subject to continuous review and development. Known issues are kept under review and are detailed in the SHMI methodology development log.

SHMI methodology development log

Reports and further SHMI analysis carried out by NHS Digital

Reports and further analyses on the SHMI are provided below. These are grouped under the same topic headings as those used in the SHMI methodology development log for ease of reference.

Risk adjustment variables

Palliative care coding report

Report on the impact of deprivation on the SHMI

Contextual indicators

Analysis of the correlation between SHMI and depth of coding

Publication resources

SHMI one page summary pilot version

SHMI one page summary - results of user feedback survey

SHMI diagnosis group breakdown pilot interactive analysis

SHMI pilot interactive analysis - results of user feedback survey

Other issues

Analysis of variation in SHMI values over time

Review of the presentation of SHMI statistics in the 2013-14 Quality Accounts

The feasibility of producing trust-level sepsis mortality data using the SHMI

SHMI Technical Working Group proceedings

The SHMI Technical Working Group supported and contributed to the technical work associated with the development and construction of the SHMI. Meetings were held on a quarterly basis and chaired by NHS Digital.

Members of the group included representatives from the Department of Health, Care Quality Commission, NHS Digital, Professional Association of Clinical Coders, Public Health England, King's Fund, University Hospitals Birmingham, Dr Foster Intelligence, Dr Foster Unit at Imperial College London, CHKS and Nuffield Trust.

Meeting dates:


Last edited: 9 November 2020 10:03 am