Concord Hospital: 2011 Quality & Safety Data

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SAFE & EFFECTIVE CARE

CH Qtr 3 2011*

Top 10% of Hospitals** Qtr 2 10 -Qtr 1 11

Heart Attack

ASPIRIN at ARRIVAL

99%

100%

ASPIRIN at DISCHARGE

100%

ACEI or ARB for LVSD at Discharge

100%

BETA BLOCKER at DISCHARGE

100%

PCI RECEIVED WITHIN 90 MINS of HOSPITAL ARRIVAL

100%

ADULT SMOKING CESSATION ADVICE/COUNSELING

100%

Heart Failure

LVS ASSESSMENT

100%

ACEI or ARB for LVSD

100%

DISCHARGE INSTRUCTIONS

96%

100%

ADULT SMOKING CESSATION ADVICE/COUNSELING

100%

Pneumonia

INITIAL ANTIBIOTIC

100%

INITIAL ANTIBIOTIC SELECTION for CAP in IMMUNOCOMPETENT Patients

100%

PNEUMOCOCCAL VACCINATION

98%

100%

INFLUENZA VACCINATION

n/a

100%

BLOOD CULTURE PERFORMED BEFORE FIRST ANTIBIOTIC RECEIVED in HOSPITAL

100%

ADULT SMOKING CESSATION ADVICE/COUNSELING

100%

Surgical Infection Prevention

PREVENTATIVE ANTIBIOTIC(S) GIVEN ONE HOUR BEFORE INCISION

100%

PREVENTATIVE ANTIBIOTIC(S) STOPPED WITHIN 24 HOURS AFTER SURGERY

95%

100%

PREVENTATIVE ANTIBIOTIC(S) SELECTION for SURGICAL PATIENTS

100%

CARDIAC SURGERY PATIENTS WITH CONTROLLED 6AM POST OP GLUCOSE

100%

99%

CARDIAC SURGERY PATIENTS ON BETA BLOCKER PERIOPERTATIVELY

97%

100%

SURGERY PATIENTS WITH APPROPRIATE HAIR REMOVAL

100%

VENOUS THROMBOEMBOLISM PROPHYLAXIS RECEIVED WITHIN 24 HOURS PRIOR to SURGERY

97%

100%

VENOUS THROMBOEMBOLISM PROPHYLAXIS RECOMMENDED and ORDERED

97%

100%

Outpatient Surgery

ANTIBIOTIC TIMING

99%

ANTIBIOTIC SELECTION

94%

100%

INFECTION OCCURRENCES

CH Qtr 3 2011***

0% n=0/d=406

COLON SURGERY INFECTIONS

4% n=1/d=28

KNEE REPLACEMENT SURGERY INFECTIONS

1% n=1/d=132

CARDIAC SURGERY INFECTIONS

0% n=0/d=24

PATIENT SATISFACTION

CH 2011****

INPATIENT OVERALL RATING of CARE

93.9

INPATIENT OVERALL RATING of LIKELIHOOD of RECOMMENDING CONCORD HOSPITAL to OTHERS

93.5

*The percentages and scores displayed represent Concord Hospital data for the time period of July September - 2011.

** The benchmark rates are from the most recent HQA Preview Report for Q 2010 - Q1 2011.

***The infection occurrences represent Concord Hospital data for the time period of July - September 2011.

**** Patient satsfaction scores represent Concord Hospital data for the time period of August 2011 - October 2011. This is the most recent data available for posting.

If you have questions or feedback about our data, you may contact us via our Web site feedback form or by calling (603) 227-7000 ext. 7245.

	Central Line Infection
	Heart Attack - ACEI for LSVD at Discharge
	Heart Attack - Aspirin at Arrival
	Heart Attack - Aspirin at Discharge
	Heart Attack - Beta Blocker at Discharge
	Heart Attack - PCI Received
	Heart Attack - Smoking Cessation Counseling
	Heart Failure - Smoking Cessation Counseling
	Heart Failure - ACEI for LVSD at Discharge
	Heart Failure - Assessment of Left Ventricular Function
	Heart Failure - Discharge Instructions
	National Patient Safety Goals
	Outpatient Surgery - Antibiotic Selection
	Outpatient Surgery - Antibiotic Timing
	Pneumonia - Blood Cultures
	Pneumonia - Influenza Vaccine
	Pneumonia - Initial Antibiotic
	Pneumonia - Oxygenation Assessment
	Pneumonia - Pneumococcal Vaccination
	Pneumonia - Smoking Cessation Counseling
	Pneumonia- Initial Antibiotic Selection for CAP
	Preventative Venous Thromboembolism Received within 24 hours prior to Surgery
	Preventative Venous Thromboembolism Recommended and Ordered
	Quality & Patient Satisfaction Data
	Quality & Satisfaction
	Satisfaction - Inpatient Overall
	Satisfaction - Likelihood of Recommending CH
	Speak Up Program - Help Avoid Errors in Your Medical Care
	Surgical Infection Prevention - Antibiotics Started
	Surgical Infection Prevention - Antibiotics Stopped
	Surgical Infection Prevention - Beta Blocker Perioperatively
	Surgical Infection Prevention - Glucose Controlled
	Surgical Infection Prevention - Hair Removal
	Vent Associated Pneumonia
	Web Sites Related to Hospital Quality
	Why We Chose These Measures