541 Assessing inclusion of Health Equity Stratifiers in National Clinical Audits

Abstract EP2.2, e-Poster Terminal 2, September 3, 2025, 13:05 - 14:00 Health equity stratifiers (HES) are established factors that are used in analysing disparities in health. By including HES in clinical audit the degree to which best practice standards are met, for groups affected by health inequity can be measured. This study aims to assess the inclusion of HES in clinical audits conducted by the National Office of Clinical Audit (NOCA). The inclusion of HES in NOCA’s clinical audits and the processes used to introduce, analyse, and report health inequity were evaluated. Data dictionaries were cross-referenced with HES. The Irish Potential Donor Audit (IPDA) was selected as an exemplary model for how HES can be effectively integrated and utilised in clinical audit. Twenty percent of HES are currently collected and reported in NOCA. The IPDA stands out as a leader in this area, with >95% data completeness for ethnicity and 100% for country of birth. Eight four percent of potential donors from the six participating hospitals were born in Ireland. The IPDA’s valuable insights and recommendations based on its experience in including HES within a clinical audit will be provided. There is an opportunity to replicate this success in the IPDA and to include HES in all NOCA audits and registries to collect and report HES.

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Publication Details

Journal
European Journal of Public Health
Published
2025-12-01
DOI
https://doi.org/10.1093/eurpub/ckaf180.356
Primary Topic
Medical Coding and Health Information
Type
article
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article

541 Assessing inclusion of Health Equity Stratifiers in National Clinical Audits

Olga Brych, Maria Kehoe, Fionnola Kelly
European Journal of Public Health
Medical Coding and Health Information
article

541 Assessing inclusion of Health Equity Stratifiers in National Clinical Audits

Olga Brych, Maria Kehoe, Fionnola Kelly
article en

Abstract

Abstract EP2.2, e-Poster Terminal 2, September 3, 2025, 13:05 - 14:00 Health equity stratifiers (HES) are established factors that are used in analysing disparities in health. By including HES in clinical audit the degree to which best practice standards are met, for groups affected by health inequity can be measured. This study aims to assess the inclusion of HES in clinical audits conducted by the National Office of Clinical Audit (NOCA). The inclusion of HES in NOCA’s clinical audits and the processes used to introduce, analyse, and report health inequity were evaluated. Data dictionaries were cross-referenced with HES. The Irish Potential Donor Audit (IPDA) was selected as an exemplary model for how HES can be effectively integrated and utilised in clinical audit. Twenty percent of HES are currently collected and reported in NOCA. The IPDA stands out as a leader in this area, with >95% data completeness for ethnicity and 100% for country of birth. Eight four percent of potential donors from the six participating hospitals were born in Ireland. The IPDA’s valuable insights and recommendations based on its experience in including HES within a clinical audit will be provided. There is an opportunity to replicate this success in the IPDA and to include HES in all NOCA audits and registries to collect and report HES.

European Journal of Public HealthVol. 35(Supplement_6)
National Audit Office (GB), Royal College of Surgeons in Ireland (IE)
Openalex Percentile: Top 54%
Medical Coding and Health Information
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