| |
National avg
(Jul. 10 -
Jun. 11) |
State
avg
(Jul. 10 -
Jun. 11) |
IVCH's
avg
(Oct. 10 -
Sep. 11) |
IVCH
current
(Jul. 11-
Sep. 11) |
| Heart Attack Care Quality Measures |
| Aspirin at arrival: Percent of eligible heart attack patients who were given (or who 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% |
100% |
| Smoking cessation advice/counseling: Percent of eligible heart attack patients given advice about stopping smoking. |
100% |
99% |
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% |
100% |
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. |
91% |
92% |
84% |
100% |
| Assessment of LVSD: Percent of all heart failure patients assessed for their heart's ability to pump blood effectively. |
98% |
99% |
92% |
82% |
| ACE inhibitor or ARB for 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% |
100% |
No Cases |
| Smoking cessation advice/counseling: Percent of eligible heart failure patients given advice about stopping smoking. |
99% |
99% |
100% |
100% |
| Pneumonia Care Measures |
| Pneumococcal vaccination: Percent of eligible pneumonia patients who received a pneumococcal vaccination during their hospital stay. |
95% |
95% |
100% |
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% |
94% |
95% |
| Smoking cessation advice/counseling: Percent of eligible pneumonia patients given advice about stopping smoking. |
98% |
98% |
100% |
100% |
| Initial antibiotic within six hours of arrival: Percent of eligible pneumonia patients who received their first dose of antibiotics within six hours of arrival. |
96% |
96% |
99% |
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% |
93% |
87% |
| 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 preventive antibiotic within one hour before incision: Percent of eligible surgical patients who received their preventive antibiotic within one hour of the start of surgery. |
98% |
98% |
94% |
88% |
| Recommended preventive antibiotic: Percent of eligible surgical patients who received the appropriate preventive antibiotic prior to surgery. |
98% |
98% |
99% |
100% |
| 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% |
98% |
100% |
| 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 one or day two: Percent of eligible surgery patients who had a urinary catheter removed the first or second day after surgery. |
92% |
93% |
100% |
100% |
| Perioperative temperature management: Percent of eligible surgery patients for whom either active warming was used intraoperatively for the purpose of maintaining a healthy body temperature or who had at least one body temperature equal to or greater than 96.8° F/36° C recorded within 30 minutes immediately prior to or 15 minutes immediately after the anesthesia end time. |
99% |
99% |
100% |
100% |
| Beta-blocker during the perioperative period: Percent of eligible surgery patients who received a beta-blocker after surgery. |
95% |
96% |
100% |
100% |
| Recommended venous thromboembolism (VTE) prophylaxis ordered: Percent of eligible surgical patients whose physician ordered treatments to prevent blood clots for selected surgeries. |
96% |
96% |
99% |
100% |
| Received appropriate venous thromboembolism prophylaxis within 24 hours before 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. |
95% |
95% |
99% |
100% |
