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| Core Measures (Reported for most recently available quarter: FY07 Q3 ) | TRENDED
QUALITY
DATA (Most recent 4 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| St.
Luke
East
Heart Attack
Care Quality
Measures |
FY03 (Jul 02 - |
FY04 (Jul 03 - |
FY05 (Jul 04 - |
FY06 (Jul 05 - |
(Apr 06 - Jun 06) |
(Jul 06 - Sep 06) |
(Oct 06 - Dec 06) |
(Jan 07 - Mar 07) |
Benchmark*
(Oct 05
- Sep 06) |
||
| CMS Validated Data+ | √ | √ | √ | √ | √ | √ | |||||
| Aspirin at Arrival (%) | 92% | 85% | 95% | 91% | 89% | 100% | 93% | 95% | 94% | ||
| Aspirin Prescribed at Discharge (%) | 96% | 89% | 96% | 90% | 100% | 93% | 89% | 90% | 94% | ||
| ACE Inhibitor for LVSD (%) | 72% | 67% | 77% | 79% | 80% | 60% | 50% | 78% | 85% | ||
| Adult Smoking Cessation Advice/Counseling (%) | 73% | 94% | 100% | 97% | 100% | 100% | 100% | 100% | 90% | ||
| Beta Blocker Prescribed at Discharge (%) | 89% | 94% | 96% | 92% | 100% | 100% | 91% | 96% | 94% | ||
| Beta Blocker at Arrival (%) | 86% | 91% | 94% | 86% | 83% | 75% | 84% | 79% | 90% | ||
| Thrombolytic Agent Within 30 Min of Arrival (%) | No Cases | No Cases | No Cases | No Cases | No Cases | No Cases | No Cases | No Cases | 32% | ||
| 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% | |
| 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. |
89% | 88% | 94% | 90% | 92% | 91% | 88% | 90% | |||
+
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: FY07 Q3 ) | TRENDED
QUALITY
DATA (Most recent 4 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| St.
Luke West
Heart Attack
Care Quality
Measures |
FY03 (Jul 02 - |
FY04 (Jul 03 - Jun 04) |
FY05 (Jul 04 - |
FY06 (Jul 05 - |
(Apr 06 - Jun 06) |
(Jul 06 - Sep 06) |
(Oct 06 - Dec 06) |
(Jan 07 - Mar 07) |
Benchmark*
(Oct 05
- Sep 06) |
||
| CMS Validated Data+ | √ | √ | √ | √ | √ | √ | |||||
| Aspirin at Arrival (%) | 82% | 82% | 96% | 98% | 94% | 93% | 96% | 97% | 94% | ||
| Aspirin Prescribed at Discharge (%) | 83% | 93% | 88% | 95% | 100% | 100% | 90% | 100% | 94% | ||
| ACE Inhibitor for LVSD (%) | 85% | 62% | 60% | 63% | 50% | 60% | 90% | 83% | 85% | ||
| Adult Smoking Cessation Advice/Counseling (%) | 78% | 82% | 86% | 79% | 80% | 100% | 100% | 86% | 90% | ||
| Beta Blocker Prescribed at Discharge (%) | 87% | 90% | 88% | 92% | 94% | 92% | 82% | 86% | 94% | ||
| Beta Blocker at Arrival (%) | 56% | 89% | 95% | 89% | 100% | 88% | 76% | 82% | 90% | ||
| Thrombolytic Agent Within 30 Min of Arrival (%) | 80% | No Cases | No Cases | No Cases | No Cases | No Cases | No Cases | No Cases | 32% | ||
| 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% | |
| 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. |
76% | 85% | 91% | 92% | 92% | 91% | 87% | 91% | |||
+
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: FY07 Q3 ) | CURRENT QUALITY SCORES FOR THE HEALTH ALLIANCE | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| All
Health
Alliance
Heart Attack Care Quality Measures |
The Christ Hospital | The University Hospital | St. Luke East Hospital | St. Luke West Hospital | The Jewish Hospital | Fort Hamilton Hospital | Benchmark* (Oct 05 - Sep 06) | |||
| Aspirin at Arrival (%) | 98% | 100% | 95% | 97% | 99% | 100% | 94% | |||
| Aspirin Prescribed at Discharge (%) | 95% | 97% | 90% | 100% | 96% | 88% | 94% | |||
| ACE Inhibitor for LVSD (%) | 84% | 89% | 78% | 83% | 100% | 67% | 85% | |||
| Adult Smoking Cessation Advice/Counseling (%) | 100% | 98% | 100% | 86% | 100% | 100% | 90% | |||
| Beta Blocker Prescribed at Discharge (%) | 95% | 100% | 96% | 86% | 98% | 100% | 94% | |||
| Beta Blocker at Arrival (%) | 94% | 97% | 79% | 82% | 96% | 86% | 90% | |||
| Thrombolytic Agent Within 30 Min of Arrival (%) | 100% | No Cases | No Cases | No Cases | No Cases | No Cases | 32% | |||
| AMI-8a | PCI w/in 90 minutes of Arrival | 88% | 86% | No Cases | No Cases | 80% | No Cases | 60% | ||
| PCI w/in 120 minutes of Arrival | 100% | 100% | No Cases | No Cases | 100% | 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 |
95% | 98% | 90% | 91% | 98% | 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.
Aspirin
prescribed
at discharge
Taking aspirin
may help prevent
further heart
attacks.
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.
Adult
smoking cessation
advice/ counseling
Smoking is linked
to heart attacks.
Quitting may
help prevent
another heart
attack.
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.
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.
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.
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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| © Copyright 2005 The Health Alliance. All Rights Reserved. Updated 07/02/2007 |