The Health Roundtable provides six-monthly updates on the in-hospital standardised mortality rate (HSMR) for each member health service.  The approach is consistent with that used by governments in England, Canada and Australia, but is standardised on the extensive multi-year database of our own member hospitals. Our mortality analysis is based on a period of data containing over 9 million episodes and around 100 thousand deaths.  Extensive reports are provided to members to enable them to identify their trends over time, and to drill down to specific areas that have unusually high or low mortality rates.