SAFE & EFFECTIVE CARE    CH Qtr 3 2009* Top 10% of Hospitals** Qtr 3 08-Qtr 2 09 Heart Attack    ASPIRIN at ARRIVAL 100% 100% ASPIRIN at DISCHARGE 100% 100% ACEI or ARB for LVSD at Discharge 100% 100% BETA BLOCKER at DISCHARGE 100% 100% PCI RECEIVED WITHIN 90 MINS of HOSPITAL ARRIVAL 80% 99% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Heart Failure  LVS ASSESSMENT 99% 100% ACEI or ARB for LVSD 95% 100% DISCHARGE INSTRUCTIONS 97% 99% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Pneumonia   INITIAL ANTIBIOTIC 96% 100% INITIAL ANTIBIOTIC SELECTION for CAP in IMMUNOCOMPETENT Patients 92% 98% PNEUMOCOCCAL VACCINATION 93% 100% INFLUENZA VACCINATION n/a 100% BLOOD CULTURE PERFORMED BEFORE FIRST ANTIBIOTIC RECEIVED in HOSPITAL 92% 100% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Surgical Infection Prevention   PREVENTATIVE ANTIBIOTIC(S) GIVEN ONE HOUR BEFORE INCISION 94% 99% PREVENTATIVE ANTIBIOTIC(S) STOPPED WITHIN 24 HOURS AFTER SURGERY 94% 99% PREVENTATIVE ANTIBIOTIC(S) SELECTION for SURGICAL PATIENTS 95% 100% VENOUS THROMBOEMBOLISM PROPHYLAXIS RECEIVED WITHIN 24 HOURS PRIOR to SURGERY 93% 99% VENOUS THROMBOEMBOLISM PROPHYLAXIS RECOMMENDED and ORDERED 93% 100%   INFECTION OCCURRENCES       CH Qtr 3 2009*** VENTILATOR-ASSOCIATED PNEUMONIA 0 n=0/d=404 CENTRAL LINE-RELATED BLOOD STREAM INFECTIONS 1.76 n=1/d=567

*The percentages and scores displayed represent Concord Hospital data for the time period of July - September 2009.

** The benchmark rates are from the most recent HQA Preview Report for Q3 2008 - Q2 2009.

***The infection occurrences represent Concord Hospital data for the time period of July - September 2009.

**** Patient satsfaction scores represent Concord Hospital data for the time period of August 2009 - October 2009. This is the most recent data available for posting.

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