Health Equity Audit Made Simple: A briefing for Primary Care Trusts and Local Strategic Partnerships

A working/ consultation document outlining the key drivers and steps for undertaking health equity audit as required in the Performance and Planning Framework (PPF) 2003-2006

Making the case: Health Equity Audit

A briefing aiming to provide guidance to the NHS and local government on undertaking HEA. Aims to increase understanding of the impact of social, economic and environmental influences on health and health inequalities, and to promote effective action.

Myocardial Ischaemia National Audit Project (MINAP)

The Myocardial Infarction Audit Project (MINAP) began in late 1998 when a broadly based steering group developed a dataset for acute myocardial infarction (AMI). This allowed clinicians to examine the management of myocardial infarction within their hospitals against targets specified by the National Service Framework for Coronary Heart Disease (NSF). The audit project produces annual reports "How the NHS manages heart attacks" to show the performance of hospitals, ambulance services and cardiac networks in England and Wales against national standards and targets for the care of heart attack patients. MINAP has recently changed its name from the Myocardial Infarction National Audit Project to the Myocardial Ischaemia National Audit Project to reflect the importance of all acute coronary syndromes.

Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study.

BACKGROUNDS AUDIPOC is a nationwide clinical audit that describes the characteristics, interventions and outcomes of patients admitted to Spanish hospitals because of an exacerbation of chronic obstructive pulmonary disease (ECOPD), assessing the compliance of these parameters with current international guidelines. The present study describes hospital resources, hospital factors related to case recruitment variability, patients' characteristics, and adherence to guidelines. METHODOLOGY/PRINCIPAL FINDINGS An organisational database was completed by all participant hospitals recording resources and organisation. Over an 8-week period 11,564 consecutive ECOPD admissions to 129 Spanish hospitals covering 70% of the Spanish population were prospectively identified. At hospital discharge, 5,178 patients (45% of eligible) were finally included, and thus constituted the audited population. Audited patients were reassessed 90 days after admission for survival and readmission rates. A wide variability was observed in relation to most variables, hospital adherence to guidelines, and readmissions and death. Median inpatient mortality was 5% (across-hospital range 0-35%). Among discharged patients, 37% required readmission (0-62%) and 6.5% died (0-35%). The overall mortality rate was 11.6% (0-50%). Hospital size and complexity and aspects related to hospital COPD awareness were significantly associated with case recruitment. Clinical management most often complied with diagnosis and treatment recommendations but rarely (<50%) addressed guidance on healthy life-styles. CONCLUSIONS/SIGNIFICANCE The AUDIPOC study highlights the large across-hospital variability in resources and organization of hospitals, patient characteristics, process of care, and outcomes. The study also identifies resources and organizational characteristics associated with the admission of COPD cases, as well as aspects of daily clinical care amenable to improvement.

City Audit Report, Centerville Iowa Reaudit, Auditor of State, June 30, 2001 & June 30, 2002

City Audit Report

City Audit Report, Granger Iowa, Auditor of State, July 1, 1999 - January 31, 2002

City Audit Report

Silos and Smokestacks National Heritage Area in Waterloo Iowa, December 31, 2001 (Audit report on America's Agricultural Industrial Heritage Landscape Inc.)

Other Audit Reports

Audit report on America's Agricultural Industrial Heritage Landscape Inc. D/B/A Silos and Smokestacks National Heritage Area in Waterloo Iowa, December 31, 2002

Other Audit Reports

City Audit Report, Blue Grass Iowa, June 30, 2003

City Audit Report

State of Iowa Single Audit Report, June 30, 2003

State Agency Audit Report Independent Auditor's Reports Iowa Comprehensive Annual Financial Report - Financial Section Schedule of expenditures of Federal Awards Schedule of findings and questioned costs

Audit report on America's Agricultural Industrial Heritage Landscape Inc. D/B/A Silos and Smokestacks National Heritage Area, December 31, 2003

Other audit reports

City Audit Report, Granger Iowa, Auditor of State, July 1, 1999 - January 31, 2002

City Audit Report

Audit report on America's Agricultural Industrial Heritage Landscape Inc. d/b/a Silos and Smokestacks National Heritage Area, Independent Auditor's Reports, Financial Statements and Supplementary Information, Schedule of Findings and Questioned Costs, December 31st, 2003 & 2004

Other Audit Reports

State of Iowa, Single Audit Report, Independent Auditor's Reports, Iowa Comprehensive Annual Financial Report - Financial Section, Schedule of Expenditures of Federal Awards, Schedule of Findings and Questioned Costs, June 30, 2004

State Audit Reports