Becker's Clinical Quality & Infection Control

July/August 2015 Clinical Quality & Infection Control

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6 Process of Care Measures Entries 33 through 66 are based on data from CMS' Hospital Compare, last updated May 6, 2015. Data presented reflect the national average. Heart attack/chest pain patient data 33. Average number of minutes before outpa- tients with chest pain or possible heart attack were transferred to another hospital if he or she needed specialized care: 58 minutes 34. Average number of minutes before outpa- tients with chest pain or possible heart attack got an ECG: 7 minutes 35. Percentage of outpatients with chest pain or potential heart attack who got drugs to break up clots within 30 minutes of arrival: 57 percent 36. Percentage of outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival: 97 percent 37. Percentage of heart attack patients who were given fibrinolytic medication within 30 minutes of arrival: 57 percent 38. Percentage of heart attack patients who were given percutaneous coronary intervention within 90 minutes of arrival: 96 percent 39. Percentage of heart attack patients given aspirin at discharge: 99 percent 40. Percentage of heart attack patients given a prescription for a statin at discharge: 99 percent 41. Percentage of heart failure patients given discharge instructions: 95 percent 42. Percentage of heart failure patients given an evaluation of left ventricular systolic function: 99 percent 43. Percentage of heart failure patients given ACE inhibitor or ARB for left ventricular systolic dysfunction: 97 percent Pneumonia patient data 44. Percentage of pneumonia patients given most appropriate initial antibiotics: 96 percent Surgery patient data 45. Percentage of patients given an antibiotic within one hour of surgery: 99 percent 46. Percentage of patients given an antibiotic to help prevent infection within an hour of surgery: 99 percent 47. Percentage of patients whose preventive anti- biotics were stopped within 24 hours of surgery: 98 percent 48. Percentage of patients who got treatment within 24 hours before or after surgery to help prevent blood clots after certain types of surgery: 99 percent 49. Percentage of outpatients given the right kind of antibiotic: 99 percent 50. Percentage of patients taking beta blockers kept on the beta blockers just before and after surgery: 98 percent 51. Percentage of patients given the right kind of antibiotic to prevent infection: 99 percent 52. Percentage of heart surgery patients whose blood glucose was well controlled in days im- mediately after surgery: 97 percent in previous survey 53. Percentage of patients whose urinary cath- eters were removed on the first or second post- surgical day: 98 percent 54. Percentage of patients actively warmed in operating room or whose body temperature was near normal by the end of surgery: 100 percent. 55. Percentage of patients who got treatment within 24 hours before or after surgery to help prevent blood clots from certain types of surger- ies: 90 percent Emergency department patient data 56. Average time spent in the emergency depart- ment before being admitted as an inpatient: 273 minutes 57. Average time spent in the emergency depart- ment after doctor decided to admit them as an inpatient before moving from emergency depart- ment to inpatient room: 96 minutes 58. Average time spent in the emergency depart- ment before being sent home: 135 minutes 59. Average time spent in the emergency depart- ment before being seen by a healthcare profes- sional: 24 minutes 60. Average time spent waiting with broken bones before receiving pain medication: 54 minutes 61. Percentage of patients who came to the emer- gency room with stroke symptoms and received brain scan results within 45 minutes of arrival: 63 percent 62. Percentage of patients assessed and given influenza vaccination: 93 percent 63. Percentage of healthcare workers given influ- enza vaccination: 79 percent Pediatric asthma data 64. Percentage of children who received reliever medication while hospitalized for asthma: 100 percent 65. Percentage of children who received systemic corticosteroid medication while hospitalized for asthma: 100 percent 66. Percentage of children and caregivers who received a home management plan of care docu- ment while hospitalized for asthma: 90 percent Patient Experience Entries 67 through 77 are based on data from CMS' Hospital Compare, last updated May 6, 2015. Data presented reflect the national average. Percentage of patients report- ing that something was "always" done during their hospital stays: 67. Nurses communicated well: 79 percent 68. Physicians communicated well: 82 percent 69. Patients received help as soon as they wanted: 68 percent 70. Pain was well controlled: 71 percent 71. Staff explained medicines before administra- tion: 65percent 72. Room and bathroom were clean: 74 percent. 73. Area around patient room was quiet at night: 62 percent 74. Information was given to patients about what to do at home during recovery: 86 percent 75. Patients rated their hospital a 9 or 10 (10 be- ing the highest): 71 percent 76. Patients reported they would recommend their hospital: 71 percent 77. Patients "strongly agree" that they understood their care when they left the hospital: 52 percent Patient Volumes & Hospital Beds Entries 78 through 82 are from the Kaiser Family Foundation's 2013 State Health Facts. Data pre- sented represent the average annual patient volume per 1,000 population. 78. Number of hospital admissions: 106 79. Number of hospital inpatient days: 577 80. Hospital emergency room visits: 423 81. Hospital outpatient visits: 2,145 82. Hospital beds: 2.5 Access to Care Entry 83 is from the CDC's Behavioral Risk Factor Surveillance System 2013 Survey, using data from 491,773 surveyed respondents in all U.S. states and territories. 83. Percentage of adults not seeing a physician in past 12 months due to cost: 15.9 percent Patient Safety Culture Entries 84 through 100 are based on data from AHRQ's Hospital Survey on Patient Safety Culture 2014 User Comparative Database Report, using data from 405,281 surveyed hospital staff respon- dents from 653 hospitals. 84. Percentage of hospital staff reporting team- work within units:

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