| |
NAT Avg
(Apr. 10 -
Mar. 11)
|
STATE Avg
(Apr. 10 -
Mar. 11) |
IVCH's Avg
(Apr. 10 -
Mar. 11) |
IVCH
Current
(Apr. 11-
Jun. 11) |
| Heart Attack Care Quality Measures
|
| Aspirin at arrival: Percent of eligible heart attack patients given (or took) aspirin within 24 hours of arrival at the hospital. |
99% |
99% |
90% |
100% |
Aspirin at discharge: Percent of eligible heart attack patients who received a prescription for aspirin to continue treatment for their heart attack when discharged from the hospital. |
99% |
99% |
100% |
100% |
ACE inhibitor or ARB for left ventricular systolic dysfunction (LVSD): Percent of eligible heart attack patients who received a prescription for ACE (angiotensin converting enzyme) inhibitor or ARB (angiotensin receptor blockers) medications to continue treatment for their heart attack when discharged from the hospital. |
97% |
97% |
100% |
No Cases |
Smoking cessation advice/counseling: Percent of eligible heart attack patients given advice about stopping smoking. |
100% |
100% |
No Cases |
No Cases |
Beta blockers at discharge: Percent of eligible heart attack patients who received a prescription for a beta blocker medication to continue treatment for their heart attack when discharged from the hospital. |
99% |
99% |
86% |
100% |
Statin at discharge: Percent of eligible heart attack patients who received a prescription for a statin medication to continue treatment for their heart attack when discharged from the hospital |
97% |
97% |
100% |
100% |
Heart Failure Care Quality Measures |
Discharge instructions: Percent of eligible heart failure patients given discharge instructions upon discharge from the hospital about their condition and follow-up treatment. |
90% |
92% |
84% |
77% |
Assessment of left ventricular systolic dysfunction (LVSD): Percent of all heart failure patients assessed for their heart's ability to pump blood effectively. |
98% |
99% |
93% |
93% |
ACE inhibitor or ARB for left ventricular systolic dysfunction (LVSD): Percent of eligible heart failure patients who received a prescription for ACE (angiotensin converting enzyme) inhibitor or ARB (angiotensin receptor blockers) medications to continue treatment for their heart failure when discharged from the hospital. |
95% |
96% |
96% |
100% |
Smoking cessation advice/counseling: Percent of eligible heart failure patients given advice about stopping smoking. |
99% |
99% |
100% |
100% |
| |
Pneumococcal vaccination: Percent of eligible pneumonia patients who received a pneumococcal vaccination during their hospital stay. |
94% |
94% |
97% |
100% |
Blood culture performed in the ER prior to initial antibiotic received in hospital: Percent of eligible pneumonia patients who received blood cultures prior to their first dose of antibiotics. |
96% |
97% |
93% |
89% |
Smoking cessation advice/counseling: Percent of eligible pneumonia patients given advice about stopping smoking. |
98% |
98% |
100% |
100% |
Initial antibiotic within 6 hours after arrival: Percent of eligible pneumonia patients who received their first dose of antibiotics within 6 hours of arrival. |
96% |
96% |
98% |
100% |
Immunocompetent patients with community acquired pneumonia (CAP) given the recommended initial antibiotic: Percent of eligible immunocompetent patients with CAP who received the appropriate antibiotic to treat their pneumonia. |
94% |
92% |
86% |
94% |
Influenza vaccination: Percent of eligible pneumonia patients who received an influenza vaccination during their hospital stay. |
93% |
93% |
94% |
Not Measured |
Surgical Care Improvement Project |
Received preventative antibiotic within 1 hour before incision: Percent of eligible surgical patients who received their preventative antibiotic within 1 hour of the start of surgery. |
97% |
97% |
98% |
87% |
Recommended preventative antibiotic: Percent of eligible surgical patients who received the appropriate preventative antibiotic prior to surgery. |
98% |
98% |
99% |
97% |
Preventative antibiotic is stopped within 24 hours after surgery: Percent of eligible surgical patients who had their preventative antibiotic discontinued within the recommended amount of time after surgery is completed. |
96% |
96% |
99% |
97% |
Appropriate hair removal: Percent of eligible surgery patients having hair removed appropriately from the surgical site prior to surgery. |
100% |
100% |
100% |
100% |
Urinary catheter is removed on postoperative day 1 or day 2: Percent of eligible surgery patients who had a urinary catheter removed the 1st or 2nd day after surgery. |
92% |
92% |
100% |
100% |
Perioerative temperature management: Percent of eligible surgery patients for whom either active warming was used intraoperatively for the purpose of maintaining normothermmia or who had at least one body temperature equal to or greater than 96.8° F/36° C recorded within the 30 minutes immediately prior to or the 15 minutes immediately after Anesthesia End Time. |
99% |
99% |
100% |
99% |
Beta-blocker therapy prior to arrival who received a beta-blocker during the perioperative period: Percent of eligible surgery patients who received a beta-blocker after surgery. |
95% |
95% |
99% |
100% |
Recommended venous thromboembolism (VTE) prophylaxis ordered: Percent of eligible surgical patients whose physician ordered treatments to prevent blood clots for selected surgeries. |
95% |
95% |
94% |
98% |
Received appropriate venous thromboembolism prophylaxis within 24 hours prior to surgery to 24 hours after surgery: Percent of eligible surgical patients who received treatment to prevent blood clots for the recommended amount of time for selected surgeries. |
94% |
93% |
96% |
98% |