|
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 heart attack.
| Core Measures (Reported
for most recently available quarter: FY08 Q1 ) |
TRENDED QUALITY DATA
(Most recent 4 years) |
|
(Most recent 4 quarters) |
|
Fort Hamilton Hospital
Heart Attack Care Quality
Measures
|
FY04
(Jul 03 - Jun 04) |
FY05
(Jul 04 - Jun 05) |
FY06
(Jul 05 - Jun 06) |
FY07
(Jul 06 - Jun 07) |
|
FY07 Q2
(Oct 06 - Dec 06) |
FY07 Q3
(Jan 07- Mar 07) |
FY07 Q4
(Apr 07- Jun 07) |
FY08 Q1
(Jul 07- Sep 07) |
Benchmark*
(Apr 06 -
Mar 07) |
| CMS Validated Data+ |
√ |
√ |
√ |
√ |
|
√ |
√ |
|
|
|
| AMI-1 |
Aspirin at Arrival (%) |
98% |
100% |
94% |
100% |
|
100% |
100% |
100% |
100% |
95% |
| AMI-2 |
Aspirin Prescribed at Discharge (%) |
97% |
87% |
90% |
78% |
|
100% |
88% |
58% |
94% |
93% |
| AMI-3 |
ACE Inhibitor for LVSD (%) |
90% |
91% |
56% |
89% |
|
100% |
67% |
100% |
75% |
85% |
| AMI-4 |
Adult Smoking Cessation Advice/Counseling
(%) |
50% |
100% |
100% |
100% |
|
100% |
100% |
100% |
100% |
95% |
| AMI-5 |
Beta Blocker Prescribed at Discharge
(%) |
84% |
93% |
96% |
81% |
|
100% |
100% |
62% |
88% |
93% |
| AMI-6 |
Beta Blocker at Arrival (%) |
94% |
99% |
100% |
87% |
|
91% |
86% |
80% |
91% |
92% |
| AMI-7a |
Thrombolytic Agent Within 30 Min
of Arrival (%) |
No Cases |
No Cases |
No Cases |
No Cases |
|
No Cases |
No Cases |
No Cases |
No Cases |
38% |
| AMI-8a |
PCI w/in 90 minutes of Arrival |
No Cases |
No Cases |
No Cases |
No Cases |
|
No Cases |
No Cases |
No Cases |
No Cases |
60% |
| AMI-8b |
PCI w/in 120 minutes of Arrival |
No Cases |
No Cases |
No Cases |
No Cases |
|
No Cases |
No Cases |
No Cases |
No Cases |
NA |
| |
Heart Attack Composite Score
The "Composite Score Approach" = the sum of the numerators
for each measure divided by the sum of the denominators foreach
measure times 100. |
93% |
96% |
93% |
90% |
|
97% |
93% |
82% |
93% |
|
+ 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.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website,
most current benchmark for SW Ohio.
| Core
Measures (Reported for most recently available quarter: FY08
Q1 ) |
CURRENT QUALITY SCORES FOR THE
HEALTH ALLIANCE |
All Health Alliance
Heart Attack Care Quality Measures |
The University Hospital |
The Jewish Hospital |
Fort Hamilton Hospital |
Benchmark*
(Apr 06- Mar 07) |
| AMI-1 |
Aspirin at Arrival (%) |
98% |
100% |
100% |
95% |
| AMI-2 |
Aspirin Prescribed at Discharge (%) |
99% |
96% |
94% |
93% |
| AMI-3 |
ACE Inhibitor for LVSD (%) |
96% |
95% |
75% |
85% |
| AMI-4 |
Adult Smoking Cessation Advice/Counseling
(%) |
100% |
100% |
100% |
95% |
| AMI-5 |
Beta Blocker Prescribed at Discharge
(%) |
100% |
100% |
88% |
93% |
| AMI-6 |
Beta Blocker at Arrival (%) |
100% |
89% |
91% |
92% |
| AMI-7a |
Thrombolytic Agent Within 30 Min of
Arrival (%) |
No Cases |
No Cases |
No Cases |
38% |
| AMI-8a |
PCI w/in 90 minutes of Arrival |
60% |
71% |
No Cases |
60% |
| AMI-8b |
PCI w/in 120 minutes of Arrival |
100% |
88% |
No Cases |
NA |
| |
Heart Attack 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. |
99% |
97% |
93% |
|
* Benchmark from Centers for Medicare
and Medicaid - HHS Hospital Compare website, most current benchmark
for SW Ohio.
Aspirin at arrival
Aspirin can help keep blood clots from forming and dissolve blood clots
that can cause heart attacks.
- This measure shows the percent of heart attack patients who were
given (or took) aspirin within 24 hours of arrival at the hospital
Aspirin prescribed at discharge
Taking aspirin may help prevent further heart attacks.
- This measure shows the percent of heart attack patients who are prescribed
aspirin at discharge.
ACE inhibitor for LVSD
ACE inhibitors and are medicines used to treat decreased heart function,
heart attacks or heart failure.
LVSD stands for left ventricular systolic dysfunction.
When the heart’s
left ventrical does not function properly, the risk for additional heart
attacks increases.
- This measure shows the percent of heart attack patients who are prescribed
ACE inhibitors at discharge.
Adult smoking cessation advice/ counseling
Smoking is linked to heart attacks. Quitting may help prevent another
heart attack.
- This measure shows the percent of heart attack patients with a history
of smoking cigarettes, who are given smoking cessation advice or counseling
during a hospital stay.
Beta blocker prescribed at discharge
Beta blockers are a type of medicine used to lower blood pressure, treat
chest pain and heart failure, and to help prevent a heart attack.
- This measure shows the percent of heart attack patients who are prescribed
a beta blocker at discharge.
Beta blocker at arrival
Beta blockers are a type of medicine used to lower blood pressure, treat
chest pain and heart failure, and to help prevent a heart attack.
- This measure shows the percent of heart attack patients who were
given (or took) a beta blocker within 24 hours of arrival at the hospital
Thrombolytic agent within 30 min of
arrival
Blood clots can cause heart attacks. Doctors may give this medicine or
perform a procedure to open the blockage. In some cases, they do both.
- This measure shows the percent of heart attack
patients who received thrombolytic therapy during the hospital stay
and having a time from hospital arrival to thrombolysis of 30 minutes
or less.
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. |
