SAFE & EFFECTIVE CARE    CH 2007* Top 10% of Hospitals** Heart Attack    ASPIRIN at ARRIVAL 100% 100% ASPIRIN at DISCHARGE 100% 100% ACEI or ARB for LVSD at Discharge 100% 100% BETA BLOCKER at ARRIVAL 100% 100% BETA BLOCKER at DISCHARGE 98% 100% PCI RECEIVED WITHIN 90 MINS of HOSPITAL ARRIVAL 50% 90% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Heart Failure  LVS ASSESSMENT 99% 100% ACEI or ARB for LVSD 100% 100% DISCHARGE INSTRUCTIONS 80% 96% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Pneumonia   INITIAL ANTIBIOTIC 99% 100% INITIAL ANTIBIOTIC SELECTION for CAP in IMMUNOCOMPETENT Patients 89% 97% PNEUMOCOCCAL VACCINATION 96% 96% OXYGENATION ASSESSMENT 100% 100% INFLUENZA VACCINATION 91% 98% BLOOD CULTURE PERFORMED BEFORE FIRST ANTIBIOTIC RECEIVED in HOSPITAL 82% 100% ADULT SMOKING CESSATION ADVICE/COUNSELING 96% 100% Surgical Infection Prevention   PREVENTATIVE ANTIBIOTIC(S) GIVEN ONE HOUR BEFORE INCISION 95% 97% PREVENTATIVE ANTIBIOTIC(S) STOPPED WITHIN 24 HOURS AFTER SURGERY 92% 97% PREVENTATIVE ANTIBIOTIC(S) SELECTION for SURGICAL PATIENTS 97% 99% VENOUS THROMBOEMBOLISM PROPHYLAXIS RECEIVED WITHIN 24 HOURS PRIOR to SURGERY 99% 97% VENOUS THROMBOEMBOLISM PROPHYLAXIS RECOMMENDED and ORDERED 99% 95%   INFECTION OCCURRENCES       CH 2007*** National Benchmark VENTILATOR-ASSOCIATED PNEUMONIA 1.7 n=1/d=599 2.7 CENTRAL LINE-RELATED BLOOD STREAM INFECTIONS 2.1 n=1/d=474 2.2

*The percentages and scores displayed represent Concord Hospital data for the time period of October - December 2007.

** The benchmark rates are from the most recent HQA Preview Report for Q4 2006 - Q3 2007.

***The infection occurrences represent Concord Hospital data for the time period of October - December 2007.

**** Patient satsfaction scores represent Concord Hospital data for the time period of August - October 2007. This is the most recent data available for posting.

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