Outcomes: Our Numbers Tell the Story
Core Measures Show Quality:
Data for 1st
through 2nd Quarters 2009
Data on Beaufort Memorial's performance
as well as other hospitals nationwide are posted on the Center
for Medicare & Medicaid Services (CMS) website at www.hospitalcompare.gov.
However, that data is very outdated by the time it is posted.
The data below is more current for Beaufort Memorial.
| AMI (Acute Myocardial Infarction): Core Measure Trends | ||||||||
| Measure | Percentage
Compliance with Standard of Care |
|||||||
BMH
Performance 1st Qtr. 2009
|
BMH Performance 2nd Qtr. 2009 | BMH Performance based upon last four Quarters | Top Ten Percent of Hospitals | State
Average |
National Average | |||
| Heart
Attack Patients Given at Arrival This chart shows the percent of heart attack patients who were given (or took) aspirin within 24 hours of arrival at the hospital. Higher percentages are better. |
94% |
100% |
95% |
100% |
100%
|
98% |
||
| Heart
Attack Patients Given Aspirin at Discharge Blood clots can block blood vessels. Aspirin can help prevent blood clots from forming or help dissolve blood clots that have formed. Following a heart attack, continued use of aspirin may help reduce the risk of another heart attack. Higher percentages are better. |
100% |
80% |
95% |
100% |
100% |
99% |
||
| Heart
Attack Patients Given ACE Inhibitory or ARB for Left
Ventricular Systolic Dysfunction (LVSD) ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat patients with heart failure and are particularly beneficial in those patients with heart failure and decreased function of the left side of the heart. |
100% |
100% |
100% |
100% |
75% |
93% |
||
| Heart
Attack Patients Given Smoking Cessation Advice/Counseling) Smoking increases your risk for developing blood clots and heart disease that can result in a heart attack, heart failure or stroke. Smoking causes your arteries to thicken and your blood vessels to narrow. Higher percentages are better. |
100% |
100% |
100% |
100% |
100% |
99% |
||
| Heart
Attack Patients Given Beta Blocker at Discharge Beta blockers are a type of medicine that is used to lower blood pressure, treat chest pain (angina) and heart failure, and to help prevent a heart attack. Beta blockers relieve the stress on your heart by slowing the heart rate and reducing the force with which your heart muscles contract to pump blood. Higher percentages are better. |
100% |
100% |
97% |
100% |
97% |
99% |
||
| Heart
Attack Patients Given Beta Blocker at Arrival Beta blockers are a type of medicine that is used to lower blood pressure, treat chest pain (angina) and heart failure, and to help prevent a heart attack. Most heart attack patients should be given a beta blocker within 24 hours of arriving at the hospital. Higher percentages are better. |
100% |
100% |
100% |
100% |
100% |
96% |
||
| Heart Failure: Core Measure Trends | ||||||||
| Measure | Percentage
Compliance with Standard of Care |
|||||||
BMH
Performance 1st Qtr. 2009 |
BMH Performance previous Qtr. | BMH Performance based upon up to four Quarters, 2007 | Top Ten Percent of Hospitals | State
Average |
National Average | |||
| Heart
Failure Patients Given Discharge Instructions Heart failure is a chronic condition. It results in symptoms such as shortness of breath, dizziness, and fatigue. Before you leave the hospital, the staff at the hospital should provide you with information to help you manage the symptoms after you get home. |
82% |
95% |
85% |
97% |
90% |
90% |
||
| Heart
Failure Patients Given Assessment of Left Ventricular
Function (LVF) The proper treatment for heart failure depends on what area of your heart is affected. An important test is to check how your heart is pumping, called “the left ventricular function assessment.” Higher percentages are better. |
100% |
100% |
99% |
100% |
99% |
97% |
||
| Heart
Failure Patients Given ACE Inhibitor or ARB for Left
Ventricular Systolic Dysfunction (LVSD) ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat patients with heart failure and are particularly beneficial in those patients with heart failure and decreased function of the left side of the heart. |
97% |
86% |
93% |
100% |
91% |
92% |
||
| Heart
Failure Patients Given Smoking Cessation Advice/Counseling Smoking increases your risk for developing blood clots and heart disease, which can result in a heart attack, heart failure or stroke. Smoking causes your blood vessels to thicken. Fat and plaque then stick to the wall of your blood vessels, which makes it harder for blood to flow. Higher percentages are better. |
100% |
100% |
100% |
100% |
92% |
98% |
||
| Pneumonia: Core Measure Trends | ||||||||
| Measure | Percentage
Compliance with Standard of Care |
|||||||
BMH
Performance 1st Qtr. 2009 |
BMH Performance previous Qtr. | BMH Performance based upon up to four Quarters, 2007 | Top Ten Percent of Hospitals | State
Average |
National Average | |||
| Oxygenation
Assessment Pneumonia can lower the oxygen in your blood because the air spaces in your lungs fill with mucus. The oxygen you breathe does not get into your bloodstream. % Compliance is the percent of patients who received this treatment when indicated. |
100% |
100% |
100% |
100% |
N/A |
99% |
||
| Pneumococcal
Vaccination The pneumococcal vaccine may help you prevent, or lower the risk of complications of pneumonia caused by bacteria. % Compliance is the percent of patients who received this treatment when indicated. |
100% |
84% |
88% |
97% |
92% |
88% |
||
| Blood
Culture Performed Prior to First Antibiotic Received
in Hospital Different types of bacteria can cause pneumonia. A blood culture is a test that lets the health care provider know which bacteria may have caused your pneumonia, and which antibiotic should be prescribed. Higher percentages are better. |
91% |
93%
|
92% |
99% |
95% |
93% |
||
| Adult
Smoking Cessation Advice/Counseling Smoking damages your lungs and can make it hard to breath. Smoking increases your chances of getting pneumonia or other chronic lung diseases like emphysema and bronchitis. Quitting may reduce your chance of getting pneumonia again. Higher percentages are better. |
100% |
100% |
100% |
100% |
98% |
96% |
||
| Initial
Antibiotic(s) within 4 Hours After Arrival This information shows the percent of patients who were given their first dose of antibiotics within 4 hours of arrival at the hospital. Patients who get pneumonia during their stay at the hospital are not counted in this measure. Higher percentages are better. |
100% |
96% |
89% |
100% |
94% |
93% |
||
| Initial
Antibiotic Selection for Community-Acquired Pneumonia
(CAP) in Immunocompetent Patients (CMS)c Pneumonia is a lung infection that is usually caused by bacteria or a virus. If pneumonia is caused by bacteria, hospitals will treat the infection with antibiotics. Different bacteria are treated with different antibiotics. Higher percentages are better. |
95% |
93% |
88% |
97% |
54% |
59% |
||
| Influenza
Vaccination The influenza vaccine may help you prevent, or lower the risk of complications of influenza caused by viruses. Patients with pneumonia should be asked if they have been vaccinated recently for influenza and, if not, should be given the vaccine. |
91% |
N/A |
82% |
97% |
91% |
86% |
||
| Surgical Care Improvement Project (SCIP): Core Measure Trends | ||||||||
| Measure | Percentage
Compliance with Standard of Care |
|||||||
BMH
Performance 1st Qtr. 2009 |
BMH Performance previous Qtr. | BMH Performance based upon up to four Quarters, 2007 | Top Ten Percent of Hospitals | State
Average |
National Average | |||
| Surgery
Patients Who Received Preventive Antibiotic(s) One
Hour Before Incision Antibiotics are medicines to prevent and treat infections. Research shows that surgery patients who get antibiotics within the hour before their operation are less likely to get wound infections. This shows how often hospitals make sure surgery patients get antibiotics at the right time. Higher percentages are better. |
98%
|
94%
|
96% |
98% |
94% |
93% |
||
| Surgery
Patients Whose Preventive Antibiotic(s) are Appropriatedly
Selected Prior to Surgery This measure looks at how often hospital surgical patients get the appropriate antibiotic in order to prevent a surgical wound infection. Infections continue to be the main preventable complication of most surgical procedures. These quality measures show some of the standards of care. Higher percentages are better. |
98% |
98%
|
97% |
99% |
96% |
96% |
||
| Prophylactic Antibiotics Discontinued within 24 hours after surgery end | 91% |
91% |
91% |
98% |
91% |
90% |
||
| Appropriate Hair Removal | 100% |
100% |
100% |
100% |
99% |
97% |
||
| Colorectal Surgery Pts with Immediate Postoperative Normothermia | 100% |
100% |
100% |
N/A |
88% |
86% |
||
| Pts on Beta-blocker prior to arrival receive one preoperatively | 94% |
97% |
93% |
N/A |
93% |
93% |
||
| Surgery Pts with Recommended Venous Thrombo Prophylaxis ordered | 98% |
97% |
97% |
97% |
92% |
92% |
||
| Surgery Pts Who Received Appropriate Venous Thrombo Prophylaxis Wthin 24 hours after surgery | 98% |
97% |
97% |
96% |
91% |
90% |
||
| Outpatient AMI Care Improvement Project | ||||||||
| Measure | Percentage
Compliance with Standard of Care |
|||||||
BMH
Performance 4th Qtr. 2008 |
BMH Performance previous Qtr. | BMH Performance based upon up to four Quarters, 2007 | Top Ten Percent of Hospitals | State
Average |
National Average | |||
| Median Time of Fibrinolysis | 100%
|
N/A |
|
N/A |
N/A |
N/A |
||
| Median Time of Fibrinolysis | 100% |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| Fibrinolytic Therapy Received Within 30 min. of ER Arrival | N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| Median Time to Transfer to Another Facility for ACI | N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| ASA on Arrival with CP or AMI | 100% |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| ASA on Arrival with AMI | 100% |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| ASA on Arrival with CP | 100% |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| Median Time to ECG | 100% |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| AMI Median Time to ECG | 100% |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| SCP Median Time to ECG | 100% |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| Outpatient SCIP Improvement Project | ||||||||
| Measure | Percentage
Compliance with Standard of Care |
|||||||
BMH
Performance 4th Qtr. 2008 |
BMH Performance previous Qtr. | BMH Performance based upon up to four Quarters, 2007 | Top Ten Percent of Hospitals | State
Average |
National Average | |||
| Prophylactic ABX Initiated Within One Hour Prior to Surgical Incision | 85%
|
N/A |
N/A |
N/A |
N/A
|
N/A
|
||
| Prophylactic ABX Selection for Surgical Patients | 81% |
N/A |
N/A |
N/A |
N/A
|
N/A
|
||
| Fibrinolytic Therapy Received Within 30 min. of ER Arrival | 100% |
N/A |
N/A |
N/A |
N/A |
N/A |
||
| Median Time to Transfer to Another Facility for ACI | N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
||
For comparative information on AMI, heart failure and pneumonia, and to learn more about the Hospital Compare program, go to www.HospitalCompare.hhs.gov.
“Our
mission is to provide superior healthcare services and to
improve the health of our community and we believe that disclosing
useful information to patients is one of the many ways we
fulfill our mission.”
—Pat Foulger, BMH Vice President
for Quality Services
