Surgical Care FMHGettysburgShady Grove Mont.Gen.CHCWCHS 86% of 383 pts. 90% of 337 pts 86% of 254 pts 93% of 323 pts 78% of 301 pts 93% of 874 pts Percent.

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Presentation transcript:

Surgical Care FMHGettysburgShady Grove Mont.Gen.CHCWCHS 86% of 383 pts. 90% of 337 pts 86% of 254 pts 93% of 323 pts 78% of 301 pts 93% of 874 pts Percent of Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision. Avg. U.S. = 82% Avg. in Md. = 89% Percent of Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for their surgery. Avg. U.S. = 90% Avg. in Md. = 92% FMHGettysburgShady Grove Mont.Gen.CHCWCHS 97% of 383 pts. 91% of 338 pts 89% of 256 pts 93% of 323 pts 84% of 296 pts 85% of 873 pts

Surgical Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 85% of 372 pts. 65% of 333 pts 76% of 242 pts 49% of 317 pts 68% of 295 pts 80% of 860 pts Percent of Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 Hours After Surgery. Avg. U.S. = 78% Avg. in Md. = 78% Percent of Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries. Avg. U.S. = 79% Avg. in Md. = 78% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 83% of 131 pts. 87% of 213 pts Not Available Not Available 71% of 164 pts 67% of 654 pts

Surgical Care Percent of Surgery Patients Who Received Treatment to Prevent Blood Clots Within 24 hours Before or After Selected surgeries to prevent blood clots For Certain Types of Surgeries. Avg. U.S. = 75% Avg. in Md. = 75% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 79% of 131 pts. 82% of 213 pts Not Available Not Available 69% of 164 pts 64% of 654 pts

Heart Attack Process of Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 96% of 67 pts. 95% of 65 pts 99% of 189 pts 96% of 77 pts 92% of 71 pts 88% of 56 pts Percent of Heart Attack Patients Given Aspirin at Arrival. Avg. U.S. = 93% Avg. in Md. = 96% Percent of Heart Attack Patients Given Aspirin at Discharge. Avg. U.S. = 90% Avg. in Md. = 95% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 100% of 50 pts. 84% of 37 pts 97% of 135 pts 89% of 47 pts 90% of 31 pts 89% of 35 pts

Heart Attack Process of Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 100% of 6 pts. 100% of 4 pts 100% of 40 pts 100% of 4 pts 100% of 7 pts 100% of 1 pts Percent of Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD). Avg. U.S. = 85% Avg. in Md. = 85% Percent of Heart Attack Patients Given Smoking Cessation Advice/Counseling. Avg. U.S. = 91% Avg. in Md. = 97% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 91% of 11 pts. 90% of 10 pts 82% of 34 pts 69% of 26 pts 100% of 10 pts 70% of 10 pts

Heart Attack Process of Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 96% of 53 pts. 92% of 40 pts 99% of 142 pts 97% of 59 pts 98% of 47 pts 94% of 34 pts Percent of Heart Attack Patients Given Beta Blocker at Discharge. Avg. U.S. = 91% Avg. in Md. = 94% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 94% of 47 pts. 93% of 61 pts 94% of 175 pts 95% of 66 pts 93% of 44 pts 88% of 26 pts Percent of Heart Attack Patients Given Beta Blocker at Arrival. Avg. U.S. = 88% Avg. in Md. = 93%

Pneumonia Process of Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 100% of 424 pts. 100% of 68 pts 100% of 152 pts 100% of 264 pts 100% of 181 pts 100% of 679 pts Percent of Pneumonia Patients Given Oxygenation Assessment. Avg. U.S. = 99% Avg. in Md. = 100% Percent of Pneumonia Patients Assessed and Given Pneumococcal Vaccination. Avg. U.S. = 75% Avg. in Md. = 76% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 84% of 321 pts. 86% of 139 pts 70% of 123 pts 55% of 220 pts 66% of 134 pts 59% of 514 pts

Pneumonia Process of Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 93% of 270 pts. 95% of 142 pts 94% of 127 pts 93% of 230 pts 83% of 150 pts 86% of 458 pts Percent of Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics. Avg. U.S. = 90% Avg. in Md. = 87% Percent of Pneumonia Patients Given Smoking Cessation Advice/Counseling. Avg. U.S. = 84% Avg. in Md. = 93% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 100% of 127 pts. 100% of 35 pts 95% of 22 pts 81% of 36 pts 82% of 45 pts 98% of 175 pts

Pneumonia Process of Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 99% of 76 pts. 90% of 21 pts 100% of 29 pts 95% of 57 pts 89% of 44 pts 96% of 117 pts Percent of Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival. Avg. U.S. = 93% Avg. in Md. = 93% Percent of Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s). Avg. U.S. = 86% Avg. in Md. = 89% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 87% of 231 pts. 94% of 66 pts 90% of 77 pts 87% of 179 pts 87% of 113 pts 89% of 337 pts

Pneumonia Process of Care Percent of Pneumonia Patients Assessed and Given Influenza Vaccination. Avg. U.S. = 75% Avg. in Md. = 73% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 89% of 130 pts. 89% of 53 pts 62% of 34 pts 51% of 65 pts 82% of 39 pts 61% of 194 pts

Heart Failure Process of Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 82% of 312 pts. 72% of 101 pts 94% of 208 pts 88% of 234 pts 37% of 182 pts 54% of 413 pts Percent of Heart Failure Patients Given Discharge Instructions. Avg. U.S. = 66% Avg. in Md. = 76% Percent of Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function. Avg. U.S. = 85% Avg. in Md. = 93% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 99% of 464 pts. 97% of 142 pts 98% of 286 pts 85% of 234 pts 89% of 275 pts 93% of 510 pts

Heart Failure Process of Care FMHGettysburgShady Grove Mont. Gen.CHCWCHS 91% of 146 pts. 80% of 35 pts 87% of 97 pts 79% of 84 pts 90% of 60 pts 88% of 124 pts Percent of Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD. Avg. U.S. = 84% Avg. in Md. = 88% Percent of Heart Failure Patients Given Smoking Cessation Advice/Counseling. Avg. U.S. = 86% Avg. in Md. = 95% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 98% of 48 pts. 100% of 14 pts 100% of 34 pts 88% of 18 pts 100% of 30 pts 100% of 93 pts

Patients’ Hospital Experience FMHGettysburgShady Grove Mont. Gen.CHCWCHS 71%68%63% Not Available 77%70% Percent of patients who reported that their nurses "Always" communicated well. Avg. U.S. = 73% Avg. in Md. = 70% Percent of patients who reported that their doctors "Always" communicated well. Avg. U.S. = 79% Avg. in Md. = 76% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 71%75%74% Not Available 77%73%

Patients’ Hospital Experience FMHGettysburgShady Grove Mont. Gen.CHCWCHS 54%57%41% Not Available 63%53% Percent of patients who reported that they "Always" received help as soon as they wanted. Avg. U.S. = 60% Avg. in Md. = 54% Percent of patients who reported that their pain was "Always" well controlled. Avg. U.S. = 67% Avg. in Md. = 64% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 69%63%58% Not Available 70%62%

Patients’ Hospital Experience FMHGettysburgShady Grove Mont. Gen.CHCWCHS 54%53%47% Not Available 59%55% Percent of patients who reported that staff "Always" explained about medicines before giving it to them. Avg. U.S. = 58% Avg. in Md. = 54% Percent of patients who reported that their room and bathroom were "Always" clean. Avg. U.S. = 68% Avg. in Md. = 63% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 70%63%41% Not Available 64%

Patients’ Hospital Experience FMHGettysburgShady Grove Mont. Gen.CHCWCHS 52%40%28% Not Available 50%40% Percent of patients who reported that the area around their room was "Always" quiet at night. Avg. U.S. = 54% Avg. in Md. = 51% Percent of patients at each hospital who reported that YES, they were given information about what to do during their recovery at home. Avg. U.S. = 79% Avg. in Md. = 77% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 74%81%80% Not Available 79%77%

Patients’ Hospital Experience FMHGettysburgShady Grove Mont. Gen.CHCWCHS 56%51%40% Not Available 60%48% Percent of patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest). Avg. U.S. = 63% Avg. in Md. = 58% Percent of patients who reported YES, they would definitely recommend the hospital. Avg. U.S. = 67% Avg. in Md. = 63% FMHGettysburgShady Grove Mont. Gen.CHCWCHS 60%54%47% Not Available 64%54%