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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 failure.
| Core Measures (Reported
for recently available quarter: FY08 Q1 ) |
TRENDED QUALITY DATA
(Most recent 4 years) |
|
(Most recent 4 quarters) |
Fort Hamilton Hospital
Heart Failure 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+ |
√ |
√ |
√ |
√ |
|
√ |
√ |
|
|
|
| HF-1 |
Discharge Instructions (%) |
87% |
91% |
98% |
99% |
|
98% |
100% |
97% |
91% |
78% |
| HF-2 |
Assessment Left Ventricular Function
(%) |
93% |
94% |
99% |
99% |
|
100% |
98% |
97% |
100% |
92% |
| HF-3 |
ACE Inhibitor for LVSD (%) |
87% |
88% |
85% |
94% |
|
91% |
94% |
100% |
100% |
85% |
| HF-4 |
Adult Smoking Cessation Advice/Counseling
(%) |
79% |
96% |
100% |
100% |
|
100% |
100% |
100% |
100% |
91% |
| |
Heart Failure 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. |
89% |
92% |
97% |
98% |
|
98% |
99% |
98% |
97% |
|
+ 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 recently available quarter: FY08 Q1
) |
CURRENT QUALITY SCORES FOR THE
HEALTH ALLIANCE |
|
All Health Alliance
Heart Failure Care Quality Measures
|
The University Hospital |
The
Jewish Hospital |
Fort Hamilton Hospital |
Benchmark*
(Apr 06-
Mar 07) |
| HF-1 |
Discharge Instructions (%) |
95% |
77% |
91% |
78% |
| HF-2 |
Assessment Left Ventricular Function
(%) |
100% |
99% |
100% |
92% |
| HF-3 |
ACE Inhibitor for LVSD (%) |
93% |
90% |
100% |
85% |
| HF-4 |
Adult Smoking Cessation Advice/Counseling
(%) |
98% |
100% |
100% |
91% |
| |
Heart Failure Composite Score
The "Composite Score Approach" = the percentage of
overall compliance with the patient care best practices |
96% |
90% |
97% |
|
* Benchmark from Centers for Medicare
and Medicaid - HHS Hospital Compare website, most current benchmark
for SW Ohio.
Discharge instructions
At discharge, the hospital staff should provide information about managing heart
failure symptoms.
- This measure shows the percent of heart failure patients who were
discharged home with written instructions or educational material addressing
all of the following: activity level, diet, discharge medications,
follow-up appointment, weight monitoring, and what to do if symptoms
worsen.
Assessment left ventricular function
This assessment checks how the left chamber of the heart is pumping.
- This measure shows the percent of heart failure patients with documentation
in the hospital record that left ventricular function (LVF) was assessed
before arrival, during hospitalization, or is planned for after discharge.
ACE inhibitor for LVSD
ACE inhibitors 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 failure 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.
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.
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