Measures for Surgery Care
This table shows our percentage of compliance with
every patient care standard being measured. A score of 91% means
we were compliant with patient care best practices 91% of the time.
This table illustrates measures for past fiscal years and for each quarter of the current fiscal year. It shows our percentage of compliance with patient care best practices for adults diagnosed with pneumonia.
| Core Measures (Reported
for most recently available quarter: FY08 Q3 ) |
TRENDED QUALITY DATA
(Most recent 3 years) |
|
|
Fort Hamilton Hospital Surgical Care Improvement Quality Measures
|
FY07
(Jul 06 - Jun 07) |
FY08**
(Jul 07 - Mar 08) |
YTD
FY09**
(Jul 08 - Jun 09) |
|
FY08 Q3
(Jan 08 -
Mar 08) |
FY08 Q4
(Apr 08-
Jun 08) |
FY09 Q1
(Jul 08 -
Sep 08) |
FY09 Q2
(Oct 08 -
Dec 08) |
Benchmark*
(Oct 06-
Sep 07) |
| CMS Validated Data+ |
√ |
√ |
√ |
|
√ |
√ |
√ |
|
|
| Inf-1a |
Antibotic within 1 hour of incision (%) |
71% |
75% |
96% |
|
97% |
98% |
96% |
96% |
87% |
| Inf-2a |
Antibotic selection (%) |
85% |
89% |
88% |
|
87% |
100% |
90% |
86% |
93% |
| Inf-3a |
Antibotic discontinued within 24 hours (%) |
70% |
72% |
92% |
|
82% |
81% |
90% |
91% |
82% |
| VTE-1 |
VTE prophylasxis ordered
(%) |
965% |
84% |
83% |
|
88% |
95% |
81% |
87% |
86% |
| VTE-2 |
VTE prophylaxis timing
(%) |
62% |
82% |
82% |
|
83% |
93% |
81% |
82% |
83% |
| |
SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. |
44% |
49% |
80% |
|
69% |
83% |
80% |
79% |
|
| |
Surgical Care Improvement 1-2-3 Composite Score ** The "Complosite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
76% |
79% |
91% |
|
89% |
93% |
93% |
88% |
|
+ The Centers for Medicare and Medicaid (CMS) audits
a sample of patient records to make sure that reported numbers are accurate.
The CMS process lags several months behind and so our most recent results
have not been validated by CMS yet. Our validation scores are consistently
good and we anticipate that the results shown accurately reflect performance
for that interval.
| Core
Measures (Reported for most recently available quarter: FY09
Q2 ) |
CURRENT QUALITY SCORES FOR THE
HEALTH ALLIANCE |
All Health Alliance
Surgical Care Improvement Quality Measures |
University Hospital |
Jewish Hospital |
Fort Hamilton Hospital |
Benchmark * (Jul 07 - Jun 08) |
| Inf-1a |
Antibiotic within 1 hour of incision (%) |
96% |
92% |
96% |
88% |
| Inf-2a |
Antibiotic selection (%) |
898% |
98% |
86% |
95% |
| Inf-3a |
Antibiotic discontinued within 24 hours (%) |
79% |
99% |
91% |
87% |
| VTE-1 |
VTE prophylaxis ordered
(%) |
96% |
94% |
87% |
88% |
| VTE-2 |
VTE prophylaxis timing
(%) |
98% |
94% |
82% |
86% |
| |
SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. |
83% |
91% |
79% |
|
| |
Surgical Care Improvement 1-2-3 Composite Score ** The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
96% |
97% |
88% |
|
* Benchmark from Centers for Medicare
and Medicaid - HHS Hospital
Compare website, most current benchmark
for Ohio.
Using the tables as a guide for these three areas, you can see our progress
year to year and quarter to quarter.
If you have any questions about the information provided on this site,
please contact Health Alliance Quality Management Services at QualityManagementServices@healthall.com.
