Quality Report 2008
Overall Summary of January '08 Preliminary Results
Heart Care
- Meets or exceeds the national average in 9 core measures
- Below the national average in 1 core measure
Pneumonia Care
- Meets or exceeds the national average in 5 core measures
- Below the national average in 2 core measures
Surgical Infection and Complication Prevention
- Meets or exceeds the national average in 6 core measures
Indicators for Heart Attack Care
Heart attack, also called acute myocardial infarction (AMI) is a life-threatening event that is caused by insufficient oxygen reaching the heart. When a heart attack occurs, quick use of aspirin and other treatments can reduce damage to the heart and reduce the chance of death. The indicators in this section examine the initial care of heart attack patients and whether patients leave the hospital with medications known to be helpful after heart attack.
| Core Measures |
JPS Health Network
January ‘08 Preliminary Results |
National Average* |
| Aspirin at arrival |
100% |
93% |
| Aspirin at discharge |
88.9% |
90% |
| ACE Inhibitor or ARB for LVSD |
100% |
85% |
| Adult: Smoking Cessation Advice |
100% |
91% |
| Beta Blocker at Discharge |
100% |
91% |
| Beta Blocker at Arrival |
90.9% |
88% |
*Source: Hospital Quality Alliance
ACE Inhibitor - any of a group of medications that relax arteries and help the body get rid of salt and water by affecting the activity of angiotensin converting enzyme (ACE). These medications are used to treat high blood pressure (hypertension).
Beta Blocker - medications that reduce the workload of the heart and lower blood pressure. They are commonly prescribed to relieve angina (a certain type of chest pain, pressure or discomfort) or to treat heart failure. They are also prescribed for people who have high blood pressure (hypertension).
Indicators for heart failure care
Heart failure, sometimes called congestive heart failure, is a long-term condition characterized by a weakening of the heart's pumping power. Heart failure becomes more common with age and has symptoms such as shortness of breath and a build up of fluid in the feet and legs. The indicators in this section measure the percent of heart failure patients getting all the recommended elements of care for heart failure.
| Core Measures |
JPS Health Network
January ‘08 Preliminary Results |
National Average* |
| Discharge instructions |
78.6% |
66% |
| Evaluation of LVS function |
100% |
85% |
| ACEI or ARB for LVSD |
87% |
84% |
| Adult smoking cessation advice |
100% |
86% |
*Source: Hospital Quality Alliance
Indicators for pneumonia care
Data in this section reports on the initial care of pneumonia patients and the extent to which the hospital staff helps the patient prevent future lung problems.
| Core Measures |
JPS Health Network
January ‘08 Preliminary Results |
National Average* |
| Oxygenation assessment |
100% |
99.6% |
| Pneumococcal vaccination |
100% |
75% |
| Blood cultures in ED before first abx |
88.9% |
90% |
| Adult smoking cessation advice |
100% |
84% |
| Antibiotic within 6 hours of hospital arrival |
90% |
82% |
| Initial antibiotic selection - nonICU patients |
71.4% |
86% |
| Influenza vaccine |
93.3% |
75% |
*Source: Hospital Quality Alliance
Indicators for surgical infection and complication prevention
This section reports on the hospital's overall performance for improving patient safety by reducing post-surgery complications.
| Core Measures |
JPS Health Network
January ‘08 Preliminary Results |
National Average* |
| Prophylactic antibiotic received 1 hour prior to incision |
89.8% |
82% |
| Prophylactic antibiotic selection |
97.9% |
90% |
| Antibiotic discontinued within 24 hour post surgery end |
91.7% |
78% |
| Surgery patients with VTE prophylaxis ordered |
92.2% |
79% |
| Patients received appropriate VTE prophylaxis within 24 hours prior to surgery to 24 hours after surgery |
84.3% |
75% |
| Patients on beta blockers PTA who received beta blockers perioperatively |
86.7% |
83% |
*Source: Hospital Quality Alliance