Baptist Hospital East
Louisville, KY  40207
Medicare Provider Number: 180130
     
 

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Process of Care Measures
  • Collection Periods / Definitions
  • Report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA).  The HQA is a public-private collaboration established to promote reporting on hospital quality of care.

Heart Attack or Chest Pain

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
AMI-1. Aspirin at Arrival ### ### ### ### ###
AMI-2. Aspirin at Discharge ### ### ### ### ###
AMI-3. ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) ### ### ### ### ###
AMI-4. Smoking Cessation Advice/Counseling ### ### ### ### ###
AMI-5. Beta Blocker at Discharge ### ### ### ### ###
AMI-7a. Fibrinolytic Medication Within 30 Minutes Of Arrival ### ### ### ### ###
AMI-8a. PCI Within 90 Minutes Of Arrival ### ### ### ### ###
AMI-10. Heart Attack Patients Given a Prescription for a Statin at Discharge ### ### ### ### ###

Heart Failure

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
HF-1. Discharge Instructions ### ### ### ### ###
HF-2. Evaluation of Left Ventricular Systolic (LVS) Function ### ### ### ### ###
HF-3. ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) ### ### ### ### ###
HF-4. Smoking Cessation Advice/Counseling ### ### ### ### ###

Emergency Department: AMI Cardiac Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-2. Fibrinolytic Therapy received within 30 minutes ### ### ### ### ###
OP-3b. Median Time to transfer patients for Acute Coronary Intervention ### ### ### ### ###
OP-4. Aspirin at Arrival ### ### ### ### ###
OP-5. Median Time to ECG ### ### ### ### ###

Emergency Department: Surgical Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-6. Timing of Antibiotic Prophylaxis ### ### ### ### ###
OP-7. Prophylactic Antiobiotic Selection ### ### ### ### ###

Pneumonia

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
PN-2. Pneumococcal Vaccination Status ### ### ### ### ###
PN-3b. Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospita ### ### ### ### ###
PN-4. Smoking Cessation Advice/Counseling ### ### ### ### ###
PN-5c. Initial Antibiotic(s) within 6 Hours After Arrival ### ### ### ### ###
PN-6. Appropriate Initial Antibiotic Selection ### ### ### ### ###
PN-7. Influenza Vaccination Status ### ### ### ### ###

Surgical Care Improvement

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
SCIP-CARD-2. Patients on beta blocker at admission who received beta blocker during perioperative period ### ### ### ### ###
SCIP-INF-1. Prophylactic Antibiotic Received Within 1 Hour Prior to Surgical Incision ### ### ### ### ###
SCIP-INF-2. Prophylactic Antibiotic Selection ### ### ### ### ###
SCIP-INF-3. Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time ### ### ### ### ###
SCIP-INF-4. Blood glucose controlled in days following heart surgery ### ### ### ### ###
SCIP-INF-6. Safe method of hair removal from surgical site used when needed ### ### ### ### ###
SCIP-INF-9. Urinary catheter removed within two days following surgery ### ### ### ### ###
SCIP-INF-10. Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal by the end of surgery ### ### ### ### ###
SCIP-VTE-1. Recommended Venous Thromboembolism Prophylaxis Ordered ### ### ### ### ###
SCIP-VTE-2. Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery ### ### ### ### ###

Children's Asthma Care

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
No Data are available for this hospital.
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Survey of Patient Hospital Experiences
  • Collection Periods / Definitions
  • Report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA).  The HQA is a public-private collaboration established to promote reporting on hospital quality of care.
  • Click individual questions for detailed definitions and comparisons.
Survey question Measure Percent Measure Percent Measure Percent
Nurses communicated well ### ### ### ### ### ###
Doctors communicated well ### ### ### ### ### ###
Help received quickly ### ### ### ### ### ###
Pain controlled well ### ### ### ### ### ###
Staff explained medicines ### ### ### ### ### ###
Room and bath kept clean ### ### ### ### ### ###
Area quiet at night ### ### ### ### ### ###
Given discharge instructions ### ### ### ### ### ###
Overall hospital rating ### ### ### ### ### ###
Would recommend hospital ### ### ### ### ### ###
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Outcome Measures
  • Collection Periods / Definitions
  • Report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA).  The HQA is a public-private collaboration established to promote reporting on hospital quality of care.

30-Day Risk Adjusted Mortality Rates

Measure Hospital Predicted Range National Average
Number Patients Mortality Rate from to
Heart Attack ### ### ### ### ###
Heart Failure ### ### ### ### ###
Pneumonia ### ### ### ### ###

30-Day Risk Adjusted Readmission Rates

Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Heart Attack ### ### ### ### ###
Heart Failure ### ### ### ### ###
Pneumonia ### ### ### ### ###
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Efficiency Measures
  • Collection Periods / Definitions
  • Report is based on information from Hospital Compare, a website created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA).  The HQA is a public-private collaboration established to promote reporting on hospital quality of care.

Imaging Efficiency

Measure Number of Patients Hospital Footnotes Hospital Score National Average State Average
OP-8. MRI Lumbar Spine for Low Back Pain ### ### ### ### ###
OP-9. Mammography Follow-up Rates ### ### ### ### ###
OP-10. Abdomen CT - Use of Contrast Material ### ### ### ### ###
OP-11. Thorax CT - Use of Contrast Material ### ### ### ### ###
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Hospital Acquired Conditions
Measure Rate per Thousand National Rate
HAC-1. Foreign object retained after surgery ### ###
HAC-2. Air embolism ### ###
HAC-3. Blood incompatibility ### ###
HAC-4. Pressure ulcer stages III and IV ### ###
HAC-5. Falls and trauma ### ###
HAC-6. Vascular catheter-associated infection ### ###
HAC-7. Catheter-associated urinary tract infection ### ###
HAC-8. Manifestations of poor glycemic control ### ###
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Serious Complications and Deaths
Measure Hospital Predicted Range National Average
Number Patients Rate from to
IQI-11. Death after surgery to repair a weakness in the abdominal aorta ### ### ### ### ###
IQI-19. Deaths after admission for a broken hip ### ### ### ### ###
IQI-91. Deaths from Certain Conditions ### ### ### ### ###
PSI-4. Death from serious treatable complications after surgery ### ### ### ### ###
PSI-6. Collapsed lung due to medical treatment ### ### ### ### ###
PSI-11. Breathing failure after surgery ### ### ### ### ###
PSI-12. Serious blood clots after surgery ### ### ### ### ###
PSI-14. A wound that splits open after surgery ### ### ### ### ###
PSI-15. Accidental cuts and tears from medical treatment ### ### ### ### ###
PSI-90. Serious Complications ### ### ### ### ###
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