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Hospital Compare - Process of Care Measures

Data are for the collection period ending 03/31/2009 posted on 12/09/2009 / 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.

Measure: Heart Attack
Condition Number of Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) 134 91% 82% 100% 75%
Aspirin at Arrival 413 97% 92% 100% 89%
Aspirin at Discharge 403 99% 90% 100% 86%
Beta Blocker at Discharge 463 99% 90% 100% 86%
Fibrinolytic Medication Within 30 Minutes Of Arrival 0 31% 100% 31%
PCI Within 90 Minutes Of Arrival 22 1 64% 54% 95% 44%
Smoking Cessation Advice/Counseling 129 98% 88% 100% 84%

Measure: Heart Failure
Condition Number of Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) 253 84% 82% 100% 78%
Discharge Instructions 536 70% 61% 93% 59%
Evaluation of Left Ventricular Systolic (LVS) Function 739 98% 83% 99% 79%
Smoking Cessation Advice/Counseling 83 100% 82% 100% 82%

Measure: Pneumonia
Condition Number of Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
Appropriate Initial Antibiotic Selection 332 85% 83% 94% 82%
Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital 340 91% 90% 100% 89%
Influenza Vaccination Status 104 71% 70% 100% 76%
Initial Antibiotic(s) within 6 Hours After Arrival 540 70% 80% 93% 82%
Pneumococcal Vaccination Status 455 70% 69% 94% 75%
Smoking Cessation Advice/Counseling 134 97% 80% 100% 84%

Measure: Surgical Care Improvement
Condition Number of Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery 1902 87% 85% 98% 85%
Blood glucose controlled in days following heart surgery 301 93% 87% 100% 90%
Patients on beta blocker at admission who received beta blocker during perioperative period 224 88% 87% 100% 86%
Prophylactic Antibiotic Received Within 1 Hour Prior to Surgical Incision 2501 97% 90% 99% 91%
Prophylactic Antibiotic Selection 2513 99% 94% 100% 93%
Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time 2380 94% 89% 99% 88%
Recommended Venous Thromboembolism Prophylaxis Ordered 1903 93% 87% 99% 88%
Safe method of hair removal from surgical site used when needed 3615 99% 97% 100% 96%

Measure: Children’s Asthma Care
Condition Number of Patients Hospital Footnotes Hospital Score National Average Nat 90th Percentile State Average
Home Management Plan 43 2 86% 51% %
Reliever Medication 78 2 100% 100% %
Systemic Corticosteroid Medication 77 2 99% 99% %

Hospital Compare - Survey of Patient Hospital Experiences

Data are for the collection period ending 03/31/2009 posted on 12/09/2009 / 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 Always 72% Usually 24% Sometimes 4%
Doctors communicated well Always 78% Usually 18% Sometimes 4%
Help received quickly Always 54% Usually 33% Sometimes 13%
Pain controlled well Always 65% Usually 29% Sometimes 6%
Staff explained medicines Always 58% Usually 18% Sometimes 24%
Room and bath kept clean Always 56% Usually 31% Sometimes 13%
Area quiet at night Always 45% Usually 36% Sometimes 19%
Given discharge instructions Yes 84% No 16%
Overall hospital rating High 67% Medium 23% Low 10%
Would recommend hospital Definitely 73% Probably 23% No 4%

Hospital Compare - Outcome Measures

Data are for the collection period ending 06/30/2008 posted on 12/09/2009 / 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 816 14.4% 12.5% 16.5% 16.6%
Heart Failure 1,344 9.4% 8.1% 10.9% 11.1%
Pneumonia 918 11.0% 9.3% 12.9% 11.5%

30-Day Risk Adjusted Readmission Rates
Measure Hospital Predicted Range National Average
Number Patients Readmission Rate from to
Heart Attack 813 19.1% 16.9% 21.5% 19.9%
Heart Failure 1,578 23.0% 21.1% 25.1% 24.5%
Pneumonia 945 17.2% 15.1% 19.5% 18.2%