1. Trends in Hospital Quality and Hospital Prevention of Surgical Complications, 2004-2009 Overall Composite for All Three Conditions Percent of patients who received recommended care for all three conditions: Heart Attack, Heart Failure, and Pneumonia Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2011. 1 Percent of adult surgical patients who received appropriate care to prevent complications*

2. Hospital Discharge and Follow-Up Care for Chronically Ill Patients Percent of heart failure patients discharged home with written instructions Trends in Hospital Care Transition, 2004-2009 Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2011. 2

3. Staff Managed Pain, Responded When Needed Help, and Explained Medicines, by Hospitals, 2009 Percent of patients reported always 3 Trends in Patient-Centered, Timely Care, 2004-2009 Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2011. 3 Staff Managed Pain Well

4. Staff Managed Pain, Responded When Needed Help, and Explained Medicines, by Hospitals, 2009 Percent of patients reported always 4 Trends in Patient-Centered, Timely Care, 2004-2009 Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2011. 4 Staff Responded When Needed Help

5. Staff Managed Pain, Responded When Needed Help, and Explained Medicines, by Hospitals, 2009 Percent of patients reported always 5 Trends in Patient-Centered, Timely Care, 2004-2009 Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2011. 5 Staff Explained Medicines and Side Effects