> Heart Attack Diagnosis
> Heart Failure Diagnosis
> Pneumonia Diagnosis
> Surgical Procedures
> Mortality Results
Measures for Surgical Procedures
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: FY010 Q2 ) |
TRENDED QUALITY DATA
(Most recent 3 years) |
|
(Most recent 4 quarters) |
University Hospital Surgical Care Improvements Quality Measures
|
FY07
(Jul 06 - Jun 07) |
FY08**
(Jul 07 - Jun 08) |
FY09**
(Jul 08 - Jun 09) |
FY10**
(Jul 09 -
Dec 09) |
|
FY09 Q3
(Jan 09 -
Mar 09) |
FY09 Q4
(Aprt 09 -
Jun 09) |
FY10 Q1
(Jul 09 -
Sep 09) |
FY10 Q2
(Oct 09 -
Dec 09) |
Benchmark*
(Jun 08-
Jul 09) |
| CMS Validated Data+ |
√ |
√ |
√ |
|
|
√ |
√ |
|
|
|
| Inf-1a |
Antibotic within 1 hour of incision (%) |
89% |
95% |
96% |
99% |
|
97% |
95% |
98% |
99% |
93% |
| Inf-2a |
Antibotic selection (%) |
95% |
97% |
96% |
96% |
|
98% |
94% |
98% |
94% |
96% |
| Inf-3a |
Antibotic discontinued within 24 hours (%) |
77% |
85% |
86% |
88% |
|
91% |
86% |
88% |
88% |
92% |
| VTE-1 |
VTE prophylaxis ordered
(%) |
96% |
89% |
99% |
99% |
|
98% |
98% |
98% |
100% |
92% |
| VTE-2 |
VTE prophylaxis timing
(%) |
83% |
78% |
97% |
99% |
|
98% |
98% |
98% |
100% |
89% |
| |
SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. |
69% |
81% |
81% |
84% |
|
88% |
81% |
86% |
83% |
|
| |
Surgical Care Improvement 1-2-3 Composite Score ** The "Complosite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
87% |
93% |
93% |
94% |
|
95% |
92% |
95% |
94% |
|
+ 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 Ohio.
| Core
Measures (Reported for most recently available quarter: FY10
Q2 ) |
CURRENT QUALITY SCORES FOR THE
HEALTH ALLIANCE |
All Health Alliance
Surgical Care Improvement Quality Measures |
University Hospital |
West Chester Medical Center |
Benchmark *
(Jul 08 - Jun 09) |
| Inf-1a |
Antibiotic within 1 hour of incision (%) |
99% |
97% |
93% |
| Inf-2a |
Antibiotic selection (%) |
94% |
97% |
96% |
| Inf-3a |
Antibiotic discontinued within 24 hours (%) |
88% |
99% |
92% |
| VTE-1 |
VTE prophylaxis ordered
(%) |
100% |
89% |
92% |
| VTE-2 |
VTE prophylaxis timing
(%) |
100% |
86% |
89% |
| |
SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. |
83% |
93% |
|
| |
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. |
94% |
98% |
|
* Benchmark from Centers for Medicare and Medicaid
- HHS Hospital Compare website, most current benchmark for Ohio.
** Includes Christ and St. Luke Hospitals through June, 2007
Using the tables as a guide for these four 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.
Blood / Cardiovascular
