Share | SAFE & EFFECTIVE CARE    CH Qtr 1 2010* Top 10% of Hospitals** Qtr 1 09-Qtr 4 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 100% 100% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Heart Failure  LVS ASSESSMENT 100% 100% ACEI or ARB for LVSD 100% 100% DISCHARGE INSTRUCTIONS 96% 100% ADULT SMOKING CESSATION ADVICE/COUNSELING 100% 100% Pneumonia   INITIAL ANTIBIOTIC 97% 100% INITIAL ANTIBIOTIC SELECTION for CAP in IMMUNOCOMPETENT Patients 97% 99% PNEUMOCOCCAL VACCINATION 93% 100% INFLUENZA VACCINATION 99% 100% BLOOD CULTURE PERFORMED BEFORE FIRST ANTIBIOTIC RECEIVED in HOSPITAL 95% 100% ADULT SMOKING CESSATION ADVICE/COUNSELING 96% 100% Surgical Infection Prevention   PREVENTATIVE ANTIBIOTIC(S) GIVEN ONE HOUR BEFORE INCISION 95% 100% PREVENTATIVE ANTIBIOTIC(S) STOPPED WITHIN 24 HOURS AFTER SURGERY 96% 99% PREVENTATIVE ANTIBIOTIC(S) SELECTION for SURGICAL PATIENTS 100% 100% CARDIAC SURGERY PATIENTS WITH CONTROLLED 6AM POST OP GLUCOSE 100% 99% CARDIAC SURGERY PATIENTS ON BETA BLOCKER PERIOPERTATIVELY 100% 100% SURGERY PATIENTS WITH APPROPRIATE HAIR REMOVAL 100% 100% VENOUS THROMBOEMBOLISM PROPHYLAXIS RECEIVED WITHIN 24 HOURS PRIOR to SURGERY 94% 100% VENOUS THROMBOEMBOLISM PROPHYLAXIS RECOMMENDED and ORDERED 94% 100% Outpatient Surgery   ANTIBIOTIC TIMING 97% 100% ANTIBIOTIC SELECTION 96% 100%   INFECTION OCCURRENCES       CH Qtr 1 2010*** CENTRAL LINE-RELATED BLOOD STREAM INFECTIONS 0 n=0/d=690

*The percentages and scores displayed represent Concord Hospital data for the time period of January - March 2010.

** The benchmark rates are from the most recent HQA Preview Report for Q4 2008 - Q3 2009.

***The infection occurrences represent Concord Hospital data for the time period of January - March 2010.

**** Patient satsfaction scores represent Concord Hospital data for the time period of February 2010 - April 2010. This is the most recent data available for posting.

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