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The Centers for Medicare and Medicaid Services, in conjunction with its partners in the Hospital Quality Alliance, launched a website called Hospital Compare. The site includes data on 20 measures of quality of care in the areas of heart attack, heart failure, pneumonia and surgical infection prevention. The goals of Hospital Compare are to improve the care provided by U.S. hospitals, while giving health care consumers easy access to quality information.

The data below covers discharged patients for the reporting period from the second quarter of 2011 through the first quarter of 2012.

Hospital Quality Measures

Aultman's Performance Aggregate Rate for All Four Quarters

State Average

National Average

Heart Attack

Aspirin at Arrival

100% of 730 patients

99%

99%

Aspirin Prescribed at Discharage

100% of 648 patients

99%

99%

ACEI or ARB for LVSD

100% of 106 patients

98%

97%

Adult Smoking Cessation
Advice/Counseling

100% of 238 patients

100%

100%

Beta-Blocker Prescribed at Discharge

100% of 659 patients

99%

99%

Fibrinolytic Therapy Received Withn 30 Minutes of Hospital Arrival

0 patients

25%

60%

Primary PCI Received Within 90 Minutes of Hospital Arrival

100% of 81 patients

95%

94%

 

Statin Prescribed at Discharge

 100% of 605 patients

 98%

98%

Heart Failure

Discharge Instructions

94% of 478 patients

94%

93%

Evaluation of LVS Function

100% of 605 patients

100%

99%

ACEI or ARB for LVSD

98% of 199 patients

97%

96%

Adult Smoking Cessation
Advice/Counseling

100% of 101 patients

99%

99%

Pneumonia

Pneumococcal Vaccination

96% of 620 patients

97%

95%

Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital

98% of 705 patients

98%

97%

Adult Smoking Cessation
Advice/Counseling

95% of 240 patients

99%

98%

Initial Antibiotic Received Within Six Hours of Hospital Arrival

98% of 646 patients

96%

96%

Initial Antibiotic Selection for CAP in Immunocompetent Patient

99% of 357 patients

96%

95%

Influenza Vaccination*

95% of 209 patients

95%

93%

Surgical Care Improvement

Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision

99% of 605 patients(2)

98%

98%

Prophylactic Antibiotic Selection for Surgical Patients

100% of 613 patients(2)

99%

98%

Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time

99% of 587 patients(2)

97%

97%

Cardiac Surgery Patients with Controlled 6 a.m. Postoperative Blood Glucose

94% of 199 patients(2)

97%

96%

Surgery Patients with Appropriate Hair Removal

100% of 766 patients(2)

100%

100%

Urinary Catheter Removed on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) with Day of Surgery being Day Zero

99% of 480 patients(2)

95%

95%

Surgery Patients with Perioperative Temperature Management 100% of 622 patients(2) 100% 100%

Surgery Patients on Beta-Blocker Therapy Prior to Admission Who Received a Beta-Blocker During the Perioperative Period

99% of 288 patients(2)

97%

96%

Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered

100% of 456 patients(2)

98%

98%

Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours After Surgery

99% of 456 patients(2)

98%

97%

 

Footnote Legend

 0 Patients: This hospital treated patients in this condition, but no patients met the criteria for inclusion in the measure calculation.
1. The number of cases is too small (n<25) for the purposes of reliably predicting hospital information.
2. Measure reflects the hospital's indication that its submission was based upon a sample of its relevant discharges.
3. Rate reflects fewer than maximum possible quarters of date.
4. Inaccurate information submitted and suppressed for one or more quarters.
5. No data are available for publication from the hospital for this measure.
*PN-7 is reported by Flu Season ONLY.

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