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Measures for Heart Attack 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 attack.
| Core Measures (Reported for most recently available quarter: FY08 Q3 ) | TRENDED QUALITY DATA (Most recent 4 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Alliance Heart Attack Care Quality Measures |
FY05 ** (Jul 04 - |
FY06 ** (Jul 05 - |
FY07 ** (Jul 06 - |
(Apr 07 - Jun 07) |
(Jan 08- Mar 08) |
Benchmark* (Jul 06- Jun 07) |
|||||
| CMS Validated Data+ | √ | √ | √ | √ | √ | ||||||
| Aspirin at Arrival (%) | 97% | 97% | 98% | 97% | 99% | 98% | 99% | 95% | |||
| Aspirin Prescribed at Discharge (%) | 96% | 96% | 96% | 94% | 97% | 99% | 96% | 93% | |||
| ACE Inhibitor for LVSD (%) | 80% | 78% | 89% | 93% | 94% | 97% | 97% | 85% | |||
| Adult Smoking Cessation Advice/Counseling (%) | 93% | 97% | 99% | 99% | 100% | 98% | 97% | 95% | |||
| Beta Blocker Prescribed at Discharge (%) | 95% | 95% | 96% | 95% | 99% | 99% | 98% | 93% | |||
| Beta Blocker at Arrival (%) | 95% | 92% | 92% | 90% | 94% | 97% | 97% | 91% | |||
| Thrombolytic Agent Within 30 Min of Arrival (%) | 33% | 33% | 50% | No Cases | No Cases | 100% | 100% | 41% | |||
| PCI w/in 90 minutes of Arrival | 30% | 50% | 81% | 94% | 65% | 74% | 76% | 62% | |||
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Attack. | 81% | 84% | 88% | 90% | 90 | 89% | 90% | 91% | |||
| 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. |
93% | 94% | 93% | 97% | 95% | 96% | 97% | 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.
** Includes Christ and St. Luke Hospitals through June, 2007.
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: FY08 Q3 ) | TRENDED QUALITY DATA (Most recent 4 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Alliance Heart Failure Care Quality Measures |
FY05 ** (Jul 04 - |
FY06 ** (Jul 05 - |
FY07 ** (Jul 06 - |
(Apr 07 - Jun 07) |
(Jul 07 - Sep 07) |
FY08 Q2 (Oct 07 - Dec 07) |
FY08 Q3 (Jan 08 - Mar 08) |
Benchmark* (Jul 06 - |
|||
| CMS Validated+ | √ | √ | √ | √ | √ | ||||||
| Discharge Instructions (%) | 56% | 78% | 89% | 90% | 88% | 89% | 91% | 91% | 78% | ||
| Assessment Left Ventricular Function (%) | 92% | 94% | 99% | 99% | 99% | 100% | 99% | 100% | 92% | ||
| ACE Inhibitor for LVSD (%) | 80% | 83% | 89% | 94% | 90% | 93% | 92% | 97% | 86% | ||
| Adult Smoking Cessation Advice/Counseling (%) | 75% | 97% | 99% | 98% | 99% | 99% | 99% | 96% | 92% | ||
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Failure. | 48% | 81% | 88% | 88% | 91% | 86% | 88% | 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. |
76% | 87% | 95% | 95% | 96% | 95% | 95% | 96% | |||
+ 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
** Includes Christ and St. Luke Hospitals through June, 2007.
Measures for Pneumonia Diagnosis
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 pneumonia
| Core Measures (Reported for recently available quarter: FY08 Q3 ) | TRENDED QUALITY DATA (Most recent 4 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Alliance Pneumonia Care Quality Measures |
FY05 ** (Jul 04 - |
FY06 ** (Jul 05 - |
FY07 ** (Jul 06 - |
FY08 ** (Jul 07 - |
(Apr 07 - Jun 07) |
(Jul 07 - Sep 07) |
(Oct 07 - Dec 07) |
(Jan 08- Mar 08) |
Benchmark* (Jul 06 - Jun 07) |
||
| CMS Validated+ | √ | √ | √ | √ | √ | ||||||
| Oxygenation Assessment (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 99% | 100% | ||
| Pneumococcal Vaccination (%) | 50% | 67% | 86% | 89% | 88% | 86% | 90% | 90% | 82% | ||
| Blood Cultures Performed Before First Antibiotic Received (%) | 78% | 82% | 91% | 94% | 90% | 95% | 97% | 92% | 91% | ||
| Adult Smoking Cessation Advice/Counseling (%) | 70% | 92% | 97% | 95% | 96% | 93% | 96% | 97% | 92% | ||
| Antibiotic w/in 6 hours of Arrival (%) | n/a | n/a | n/a | 93% | n/a | 93% | 95% | 92% | 95% | ||
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Pneumonia. | 30% | 50% | 69% | 78% | 76% | 72% | 80% | 80% | |||
| Pneumonia 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.. |
80% | 86% | 92% | 92% | 92% | 91% | 94% | 92% | |||
+ 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.
** Includes Christ and St. Luke Hospitals through
June, 2007.
*** Effective October, 2007, the Pneumonia Composite Score includes only Antibotic within 6 hours rather than 4 and 8 hours (per CMS charge). Scores were re-calculated to reflect this change.
| Core Measures (Reported for most recently available quarter: FY08 Q3 ) | TRENDED QUALITY DATA (Most recent 3 years) |
(Most recent 4 quarters) | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Health Alliance Surgical Care Improvement Quality Measures |
FY06 (Jul 05 - |
FY07 (Jul 06 - |
FY08** (Jul 07 - |
(Apr 07 - |
(Jul 07- |
(Oct 07 - |
(Jan 08 - |
Benchmark* |
||
| CMS Validated Data+ | √ | √ | √ | √ | ||||||
| Inf-1a | Antibiotic within 1 hour of incision (%) | 78% | 84% | 86% | 88% | 83% | 86% | 91% | 87% | |
| Inf-2a | Antibiotic selection (%) | 88% | 93% | 94% | 92% | 96% | 92% | 95% | 93% | |
| Inf-3a | Antibiotic discontinued within 24 hours (%) | 65% | 76% | 83% | 78% | 81% | 81% | 88% | 82% | |
| VTE prophylaxis ordered (%) | N/C | 81% | 86% | 83% | 85% | 82% | 92% | 86% | ||
| VTE prophylaxis timing (%) | N/C | 74% | 80% | 77% | 80% | 75% | 85% | 83% | ||
| SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 49% | 63% | 70% | 67% | 67% | 67% | 77% | |||
| Surgical Care Improvement 1-2-3 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. |
77% | 85% | 88% | 86% | 87% | 86% | 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.
** Includes Christ and St. Luke Hospitals through
June, 2007.
| Core Measures (Reported for most recently available quarter: FY08 Q3) | CURRENT QUALITY SCORES FOR THE HEALTH ALLIANCE | ||||||
|---|---|---|---|---|---|---|---|
| All Health Alliance Heart Attack Care Quality Measures |
The University Hospital | The Jewish Hospital | Fort Hamilton Hospital | Benchmark* (Jul 06 - Jun 07) |
|||
| Aspirin at Arrival (%) | 100% | 100% | 94% | 95% | |||
| Aspirin Prescribed at Discharge (%) | 96% | 95% | 100% | 93% | |||
| ACE Inhibitor for LVSD (%) | 100% | 92% | 100% | 85% | |||
| Adult Smoking Cessation Advice/Counseling (%) | 96% | 100% | 100% | 95% | |||
| Beta Blocker Prescribed at Discharge (%) | 98% | 99% | 100% | 93% | |||
| Beta Blocker at Arrival (%) | 97% | 96% | 100% | 91% | |||
| Thrombolytic Agent Within 30 Min of Arrival (%) | 100% | No Cases | No Cases | 41% | |||
| AMI-8a | PCI w/in 90 minutes of Arrival | 78% | 75% | No Cases | 62% | ||
| Perfect Score ** Patietns who had all elements of care done correctly for the treatment of Heart Attack. | 92% | 88% | 95% | ||||
| 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. |
97% | 97% | 99% | ||||
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for SW Ohio.
** Includes Christ and St. Luke Hospitals through June, 2007.
| Core Measures (Reported for recently available quarter: FY08 Q3) | 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* (Jul 06- Jun 07) |
|
| Discharge Instructions (%) | 93% | 84% | 100% | 78% | |
| Assessment Left Ventricular Function (%) | 100% | 99% | 100% | 92% | |
| ACE Inhibitor for LVSD (%) | 100% | 91% | 93% | 86% | |
| Adult Smoking Cessation Advice/Counseling (%) | 94% | 100% | 100% | 92% | |
| Perfect Score ** Patietns who had all elements of care done correctly for the treatment of Heart Failure. | 92% | 83% | 98% | ||
| Heart Failure Composite Score ** The "Composite Score Approach" = the percentage of overall compliance with the patient care best practices |
97% | 93% | 97% | ||
* Benchmark from Centers for Medicare and Medicaid -
HHS Hospital Compare website, most current benchmark for SW Ohio.
** Includes Christ and St. Luke Hospitals through June, 2007.
| Core Measures (Reported for recently available quarter: FY08 Q3) | CURRENT QUALITY SCORES FOR THE HEALTH ALLIANCE | ||||
|---|---|---|---|---|---|
| All Health Alliance Pneumonia Care Quality Measures |
The University Hospital | The Jewish Hospital | Fort Hamilton Hospital | Benchmark* (Jul 06- Jun 07) |
|
| Oxygenation Assessment (%) | 100% | 100% | 100% | 100% | |
| Pneumococcal Vaccination (%) | 78% | 93% | 98% | 82% | |
| Blood Cultures Performed Before First Antibiotic Received (%) | 90% | 93% | 95% | 91% | |
| Adult Smoking Cessation Advice/Counseling (%) | 94% | 100% | 100% | 92% | |
| Antibiotic w/in 6 hours of Arrival (%) | 90% | 9788% | 94% | 95% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Pneumonia | 70% | 81% | 91% | ||
| Pneumonia 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% | 93% | 94% | ||
* Benchmark from Centers for Medicare and Medicaid - HHS
Hospital Compare website, most current benchmark for SW Ohio.
** Includes Christ and St. Luke Hospitals through
June, 2007.
| Core Measures (Reported for most recently available quarter: FY08 Q3) | CURRENT QUALITY SCORES FOR THE HEALTH ALLIANCE | |||||
|---|---|---|---|---|---|---|
| All Health Alliance Surgical Care Improvement Quality Measures |
The University Hospital | The Jewish Hospital | Fort Hamilton Hospital | |||
| Antibiotic within 1 hour of incision (%) | 97% | 84% | 94% | |||
| Antibiotic selection (%) | 87% | 96% | 98% | |||
| Antibiotic discontinued within 24 hours (%) | 82% | 93% | 87% | |||
| VTE-1 | VTE prophylaxis ordered (%) | 88% | 95% | 93% | ||
| VTE-2 | VTE prophylaxis timing (%) | 83% | 92% | 80% | ||
| SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 69% | 77% | 81% | |||
| Surgical Care Improvements 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% | 91% | 93% | |||
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for SW Ohio.
| THE HEALTH ALLIANCE COMPOSITE SCORE | ||||||
|---|---|---|---|---|---|---|
| FY2006 (Jul 05 - Jun 06) |
FY2007 (Jul 06 - Jun 07) |
FY2008 (Jul 07 - Mar 08) |
||||
| The University Hospital | 90% | 93% | 95% | |||
| The Jewish Hospital | 87% | 94% | 94% | |||
| Fort Hamilton Hospital | 92% | 94% | 97% | |||
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of all measures. | 70% | 80% | 85% | |||
| Overall 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. |
88% | 93% | 95% | |||
** Includes Christ and St. Luke Hospitals through June, 2007.
| Health Alliance SCIP 1-2-3 Composite Score | FY2006 (Jul 05 - Jun 06) |
FY2007 (Jul 06 - Jun 07) |
FY2008 (Jul 07 - Mar 08) |
|
|---|---|---|---|---|
| The University Hospital | 83% | 87% | 92% | |
| The Jewish Hospital | 82% | 86% | 90% | |
| Fort Hamilton Hospital | 63% | 76% | 79% | |
| SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 49% | 63% | 70% | |
| Surgical Care Improvement 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. |
77% | 85% | 88% |
