Measures for
Heart Failure
Diagnoses
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:
FY07 Q3 ) |
TRENDED
QUALITY
DATA
(Most recent
4 years) |
|
(Most
recent
4 quarters) |
| St.
Luke East
Heart Failure
Care Quality
Measures |
FY03
(Jul 02
- Jun
03) |
FY04
(Jul 03
- Jun
04) |
FY05
(Jul 04
- Jun
05) |
FY06
(Jul 05
- Jun
06) |
|
FY06
Q4
(Apr 06
- Jun 06) |
FY07
Q1
(Jul 06
- Sep 06) |
FY07 Q2
(Oct 06 - Dec 06) |
FY07 Q3
(Jan 07 - Mar 07) |
Benchmark*
(Oct 05
-
Sep 06) |
| |
CMS
Validated+ |
√ |
√ |
√ |
√ |
|
√ |
√ |
|
|
|
| HF-1 |
Discharge
Instructions
(%) |
47% |
53% |
54% |
49% |
|
84% |
88% |
80% |
76% |
75% |
| HF-2 |
Assessment
Left Ventricular
Function
(%) |
77% |
88% |
84% |
94% |
|
100% |
100% |
100% |
98% |
91% |
| HF-3 |
ACE
Inhibitor
for LVSD
(%) |
69% |
67% |
81% |
67% |
|
71% |
71% |
69% |
70% |
84% |
| HF-4 |
Adult
Smoking
Cessation
Advice/Counseling
(%) |
70% |
84% |
84% |
100% |
|
100% |
100% |
100% |
83% |
89% |
| |
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. |
66% |
73% |
73% |
74% |
|
90% |
91% |
90% |
86% |
|
+
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:
FY07 Q3 ) |
TRENDED
QUALITY
DATA
(Most recent
4 years) |
|
(Most
recent
4 quarters) |
St.
Luke West
Heart
Failure
Care Quality
Measures |
FY03
(Jul 02
- Jun
03) |
FY04
(Jul 03
- Jun
04) |
FY05
(Jul 04
- Jun
05) |
FY06
(Jul 05
- Jun
06) |
|
FY06
Q4
(Apr 06
- Jun 06) |
FY07
Q1
(Jul 06
- Sep 06) |
FY07 Q2
(Oct 06 - Dec 06) |
FY07 Q3
(Jan 07 - Mar 07) |
Benchmark*
(Oct 05
-
Sep 06) |
| |
CMS
Validated+ |
√ |
√ |
√ |
√ |
|
√ |
|
|
|
|
| HF-1 |
Discharge
Instructions
(%) |
29% |
29% |
48% |
55% |
|
75% |
100% |
89% |
67% |
75% |
| HF-2 |
Assessment
Left Ventricular
Function
(%) |
80% |
87% |
88% |
84% |
|
85% |
93% |
100% |
100% |
91% |
| HF-3 |
ACE
Inhibitor
for LVSD
(%) |
68% |
72% |
69% |
70% |
|
62% |
79% |
50% |
67% |
84% |
| HF-4 |
Adult
Smoking
Cessation
Advice/Counseling
(%) |
59% |
67% |
95% |
94% |
|
67% |
100% |
100% |
100% |
89% |
| |
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. |
60% |
65% |
73% |
73% |
|
77% |
94% |
86% |
85% |
|
+
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: FY07 Q3 ) |
CURRENT
QUALITY
SCORES
FOR THE
HEALTH
ALLIANCE |
|
All
Health
Alliance
Heart Failure
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) |
| HF-1 |
Discharge
Instructions
(%) |
87% |
93% |
76% |
67% |
82% |
100% |
75% |
| HF-2 |
Assessment
Left Ventricular
Function
(%) |
100% |
99% |
98% |
100% |
97% |
98% |
91% |
| HF-3 |
ACE
Inhibitor
for LVSD
(%) |
86% |
93% |
70% |
67% |
86% |
94% |
84% |
| HF-4 |
Adult
Smoking
Cessation
Advice/Counseling
(%) |
100% |
100% |
100% |
100% |
100% |
100% |
89% |
| |
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. |
95% |
96% |
86% |
85% |
90% |
99% |
|
*
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.
|