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10:18 – HSMR is not a crude rates metric but risk-adjusted one taking into account many criteria including demographics and co-morbidities. The full methodology on how HSMRs are calculated are completely transparent and published. You can download them on http://drfosterintelligence.co.uk/hospital-guide-2013-methodology-and-rationale-documents-for-acute-trusts/

It is true that large teaching hospitals tend to have more complicated case mix than other hospitals; but it is also true that they tend to have a lower than expected mortality rate after risk-adjustment. UH Birmingham unfortunately does not fall into this category.