Becker's Hospital Review

Becker's Hospital Review Nov 2013

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Sign up for the COMPLIMENTARY Becker's Hospital Review CEO Report & CFO Report E-Weeklies at www.BeckersHospitalReview.com or call (800) 417-2035 15 200 Hospital Benchmarks — 2013 D ata is enlightening, but also overwhelming. Data can be incredibly useful, but must also be used with forethought. We live in an age where almost every function relies on the analysis of data, which allows us to find trends and solve problems — but could also leave us in a state of thought paralysis. Hospital and healthcare executives are very aware of the perks and cautions of comparative data and benchmarking. Looking at clinical, operational and financial data can help providers identify problems as well as stay on pace with competitors or national leaders. Too much data, however, can make even the most IT-savvy hospital executives feel as though they are caught in quicksand. For the second year, Becker's Hospital Review has collected 200 benchmarks related to some of the most important day-to-day areas hospital executives oversee: quality, patient satisfaction, operations, utilization and finance. As hospitals continue to move toward value-based care and a more seamless care continuum, the following data and metrics will give some insight as to what providers should expect — and how they can improve. Quality and process of care Source: Hospital Compare, Department of Health & Human Services, National Averages July 2013. Hospital-acquired conditions and other national averages (all per 1,000 discharges) Collapsed lung due to medical treatment: 0.35 A wound that splits open on the abdomen or pelvis after surgery: 0.95 Accidental cuts and tears from medical treatment: 2.05 Serious blood clots after surgery: 4.71 Deaths among patients with serious treatable complications after surgery: 113.43 Objects accidentally left in the body after surgery: 0.028 Severe pressure/bed sores: 0.136 Falls and injuries: 0.527 Infection from a urinary catheter: 0.358 Signs of uncontrolled blood sugar: 0.058 200 Hospital Benchmarks — 2013 By Bob Herman Heart attack patients Who were given fibrinolytic medication within 30 minutes of arrival: 61 percent Who were given angioplasty within 90 minutes of arrival: 95 percent Who were given aspirin at discharge: 99 percent Who were given a prescription for a statin at discharge: 98 percent Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival: 58 percent Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival: 97 percent Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital: 58 minutes Average number of minutes before outpatients with chest pain or possible heart attack got an ECG: 7 minutes Median time to fibrinolysis: 28 minutes Heart failure patients Who were given discharge instructions: 93 percent Who were given an evaluation of left ventricular systolic function: 99 percent Who were given ACE inhibitor or ARB for left ventricular systolic dysfunction: 97 percent Pneumonia patients Whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics: 97 percent Who were given the most appropriate initial antibiotic(s): 95 percent Surgery patients Who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection: 98 percent Whose preventive antibiotics were stopped at the right time (within 24 hours after surgery): 97 percent Who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery: 98 percent Who were taking heart drugs (beta blockers) before coming to the hospital and who were kept on the beta blockers during the period just before and after their surgery: 97 percent Who were given the right kind of antibiotic to help prevent infection: 99 percent Heart surgery patients whose blood sugar is kept under good control in the days right after surgery: 96 percent Whose urinary catheters were removed on the first or second day after surgery: 96 percent Who were actively warmed in the operating room or whose body temperate was near normal by the end of the surgery: 100 percent Whose physicians ordered treatments to prevent blood clots after certain types of surgeries: 98 percent Outpatients having surgery who got an antibiotic at the right time (within one hour before surgery): 97 percent Outpatients having surgery who got the right kind of antibiotic: 97 percent Emergency department patients Average time spent in the ED before patients were admitted to the hospital as an inpatient: 274 minutes Average time patients spent in the ED after the physician decided to admit them as an inpatient but before leaving the ED for their inpatient room: 96 minutes Average time patients spent in the ED before being sent home: 138 minutes Average time patients spent in the ED before they were seen by a healthcare professional: 28 minutes Average time patients who came to the ED with broken bones had to wait before receiving pain medication: 60 minutes

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