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Reporting period for clinical process measures shows fourth quarter 2009 through third quarter 2010 discharges.
| Acute Myocardial Infarction (AMI) | ||||
| Measure | Percentage Compliance
with Standard of Care |
|||
Laurens County Performance based upon last four Quarters |
Top Ten Percent of Hospitals |
State Average |
National Average |
|
| AMI-1: Asprin 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. | 88% |
100% |
98% |
99% |
| AMI-2: Asprin Prescribed 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. | 75% |
100% |
99% |
99% |
| AMI-3: ACEI or ARB for 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. | N/A* |
100% |
97% |
96% |
| AMI-4: Adult 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% |
| AMI-5: Beta-Blocker Prescribed 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% |
99% |
98% |
| AMI-7a: Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival | N/A* |
100% |
75% |
57% |
| AMI-8a: Primary PCI Received Within 90 Minutes of Hospital Arrival | N/A* |
100% |
94% |
90% |
| Heart Failure (HF) | ||||
| Measure | Percentage Compliance
with Standard of Care |
|||
Laurens County Performance based upon last four Quarters |
Top Ten Percent of Hospitals |
State Average |
National Average |
|
| HF-1: 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. | 100% |
100% |
89% |
89% |
| HF-2: Evaluation of LVS Function. 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% |
98% |
| HF-3: ACEI or ARB for 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. | 76% |
100% |
96% |
95% |
| HF-4: Adult 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. | 95% |
100% |
99% |
99% |
| Pneumonia (PN) | ||||
| Measure | Percentage Compliance
with Standard of Care |
|||
Laurens County Performance based upon last four Quarters |
Top Ten Percent of Hospitals |
State Average |
National Average |
|
| PN-2: 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. | 96% |
100% |
95% |
93% |
| PN-3b: Blood Cultures Performed in the Emergency Department Prior to Initial 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. | 94% |
100% |
96% |
96% |
| PN-4: 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. | 97% |
100% |
99% |
97% |
| PN-5c: Initial Antibiotic Received Within 6 Hours of Hospital 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. | 94% |
100% |
96% |
95% |
| PN-6: Initial Antibiotic Selection for CAP in Immunocompetent Patient. 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. | 90% |
99% |
93% |
92% |
| PN-7: 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. | 100% |
100% |
94% |
91% |
| Surgical Care Improvement Project (SCIP) | ||||
| Measure | Percentage Compliance
with Standard of Care |
|||
Laurens County Performance based upon last four Quarters |
Top Ten Percent of Hospitals |
State Average |
National Average |
|
| SCIP-Inf-1: Prophylactic Antibiotic Received Within 1 Hour Prior to Surgical 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. | 93% |
100% |
97% |
97% |
| SCIP-Inf-2: Prophylactic Antibiotic Selection for Surgical Patients. 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. |
95% |
100% |
98% |
97% |
| SCIP-Inf-3: Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time. | 94% |
100% |
95% |
95% |
| SCIP-Inf-4: Cardiac Surgery Patients with Controlled 6 a.m. Postoperative Blood Glucose | N/A* |
99% |
97% |
94% |
| SCIP-Inf-6: Surgery Patients with Appropriate Hair Removal | 100% |
100% |
99% |
100% |
| SCIP-Inf-9: Urinary Catheter Removed on Postoperative Day 1 (POD1) or Postoperateive Day 2 (POD2) with Day of Surgery being Day Zero | 86% |
100% |
94% |
91% |
| SCIP-Card-2: Surgery Patients on Beta-Blocker Therapy Prior to Arrival Who Received a Beta-Blocker During the Perioperative Period | 76% |
100% |
95% |
93% |
| SCIP-VTE-1: Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered | 77% |
100% |
95% |
94% |
| SCIP-VTE-2: Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery | 76% |
100% |
94% |
93% |
Reporting period for outcome measures is third quarter 2006 through second quarter 2009 discharges.
| 30-Day Risk-Standardized Mortality Measures | ||||||
| Measures | Laurens County Risk-Standardized Mortality Rate |
U.S. National Rate |
Number of Hospitals.. |
Better than U.S. National Rate |
No Different than U.S. National Rate |
Worse than U.S. National Rate |
Acute Myocardial Infarction (AMI) |
||||||
| MORT-30-AMI: Acute Myocardial Infarction (AMI) 30-Day Mortality Rate | 16.6% |
15.9% |
in the Nation that performed... |
101 |
2,740 |
36 |
| in the State that performed... |
0 |
43 |
1 |
|||
Heart Failure (HF) |
||||||
| MORT-30-HF: Heart Failure (HF) 30-Day Mortality Rate | 12.6% |
11.3% |
in the Nation that performed... |
194 |
3,880 |
119 |
| in the State that performed... |
0 |
57 |
2 |
|||
Pneumonia (PN) |
||||||
| MORT-30-PN: Pneumonia (PN) 30-Day Mortality Rate | 17.1% |
11.9% |
in the Nation that performed... |
201 |
4,089 |
220 |
| in the State that performed... |
2 |
53 |
5 |
|||
| 30-Day Risk-Standardized Readmission Measures | ||||||
| Measures | Laurens County Risk-Standardized Mortality Rate |
U.S. National Rate |
Number of Hospitals.. |
Better than U.S. National Rate |
No Different than U.S. National Rate |
Worse than U.S. National Rate |
Acute Myocardial Infarction (AMI) |
||||||
| READM-30-AMI: Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | Not Reported |
19.8% |
in the Nation that performed... |
30 |
2,417 |
36 |
| in the State that performed... |
1 |
38 |
0 |
|||
Heart Failure (HF) |
||||||
| READM-30-HF: Heart Failure (HF) 30-Day Readmission Rate | 22.9% |
24.8% |
in the Nation that performed... |
117 |
3,969 |
199 |
| in the State that performed... |
2 |
56 |
2 |
|||
Pneumonia (PN) |
||||||
| READM-30-PN:Pneumonia (PN) 30-Day Readmission Rate | 16.6% |
18.4% |
in the Nation that performed... |
45 |
4,356 |
132 |
| in the State that performed... |
1 |
59 |
0 |
|||
N/A*: No patients met the criteria for inclusion in the measure calculation.
