| |
4th
Qtr
2008 |
1st
Qtr
2009 |
2nd
Qtr
2009 |
3rd
Qtr
2009 |
National
Average |
| Heart Attack/Chest
Pain |
 |
|
|
|
|
Aspirin at arrival: % of eligible
inpatients receiving aspirin for treatment of a heart attack
within 24 hours of arrival to the hospital. |
NA |
100.0% |
100.0% |
80.0% |
94% |
| Beta Blocker
at arrival: % of eligible inpatients received beta blocker
medications within 24 hours of arrival at the hospital. |
NA
|
100.0% |
-
|
100.0%
|
93%
|
| Heart
Failure |
| Assessment of left ventricular
function: %
of eligible patients assessed for their heart’s ability
to pump blood effectively (left ventricular function) while
in the hospital. |
100.0% |
100.0% |
91.7% |
100.0% |
89% |
| ACE or ARB
medications at discharge: %
of eligible patients receiving ACE or ARB medications for
continued treatment of their heart failure when they left
the hospital. |
100.0% |
80.0% |
100.0% |
- |
89% |
| Discharge Instructions: % of eligible
patients who received complete discharge instructions. |
75.0% |
76.9% |
87.5% |
66.7% |
76% |
| Smoking Cessation
Advice: % of eligible patients given smoking cessation advice
or counseling. |
100.0% |
100.0% |
100.0% |
100.0% |
- |
| Pneumonia |
| Influenza vaccination:
% of eligible patients who were screened and received an influenza
vaccine during their hospital stay. |
100.0% |
100.0% |
NA |
NA |
93% |
| Initial antibiotic
received within 6 hours of
hospital arrival: % of eligible pneumonia patients who received
an initial dose of antibiotics within 4 hours of arrival.
|
93.8% |
100.0% |
100.0% |
100.0% |
82% |
| Pneumococcal vaccination: % of eligible
patients who were screened and received a pneumococcal vaccine
during their hospital stay. |
100.0% |
100.0% |
100.0% |
94.7% |
84% |
| Blood Cultures:
% of eligible patients whose blood cultures were performed in
the Emergency Department prior to their first dose of antibiotic. |
100.0% |
100.0% |
100.0% |
100.0% |
91% |
| Smoking Cessation Advice:
% of eligible patients given smoking cessation advice or counseling.
|
100.0% |
100.0% |
100.0% |
100.0% |
89% |
| Antibiotic
selection: % of eligible patients who were given the most appropriate
antibiotic. |
100.0% |
100.0% |
83.3% |
100.0% |
87% |
| Surgical
Care |
|
|
|
|
|
| Antibiotic received
within one hour prior to surgery: % of eligible inpatients with
initial antibiotic initiated within one hour prior to surgical
incision. |
91.1% |
97.7% |
93.5% |
97.5% |
89% |
| Antibiotic selection:
% of eligible inpatients who were given the most appropriate
antibiotic. |
98.2% |
100.0% |
95.7% |
100.0% |
94% |
| Antibiotic discontinuation: % of
eligible patients whose antibiotics were discontinued within
24 hours after the end of surgery. |
96.4% |
100.0% |
93.3% |
89.7% |
87% |
| Hair Removal:
% of eligible patients whose hair at the surgical site was removed
in the most appropriate manner. |
98.8% |
100.0% |
100.0% |
100.0% |
96% |
| Postoperative normothermia (Inpatient):
% of eligible colorectal surgery inpatients with normal temperature
(greater than or equal to 98.6 degrees) within the first 15
minutes of leaving the operating room. |
80.0% |
100.0% |
100.0% |
100.0% |
NA |
| Venous thromboembolism
prophylaxis (Inpatient): % of eligible inpatients who received
appropriate medication to prevent blood clots within 24 hours
prior to surgical incision time to 24 hours after surgical incision
time. |
86.5% |
89.3% |
83.8% |
96.0% |
84% |
