All UC Health
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC Health Surgical Care Improvement Quality Measures |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ |  |
||||||||||
| Inf-1a | Antibiotic within 1 hour of incision (%) | 86% | 96% | 97% | 98% | 97% | 98% | 99% | 98% | 97% | |
| Inf-2a | Antibiotic selection (%) | 94% | 96% | 97% | 96% | 97% | 99% | 95% | 97% | 98% | |
| Inf-3a | Antibiotic discontinued within 24 hours (%) | 83% | 86% | 95% | 98% | 97% | 97% | 96% | 99% | 95% | |
| VTE-1 | VTE prophylaxis ordered (%) | 86% | 99% | 97% | 100% | 96% | 100% | 100% | 99% | 94% | |
| VTE-2 | VTE prophylaxis timing (%) | 80% | 96% | 96% | 97% | 95% | 99% | 96% | 97% | 92% | |
| SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 70% | 82% | 90% | 93% | 90% | 94% | 91% | 95% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
** Includes Christ and St. Luke Hospitals through June, 2007 Includes Jewish and Fort Hamilton Hospitals through June 2008. FY2009 & FY2010 includes only University Hospital and West Chester Hospital data.
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
TRENDED QUALITY DATA (Most recent 4 years) |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC Health Heart Attack Care Quality Measures |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 08 - Dec 08) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|
|||||||||
| AMI-1 | Aspirin at Arrival (%) | 98% | 98% | 99% | 98% | 98% | 100% | 100% | 100% | 99% | |
| AMI-2 | Aspirin Prescribed at Discharge (%) | 96% | 97% | 98% | 100% | 98% | 96% | 100% | 100% | 99% | |
| AMI-3 | ACE Inhibitor for LVSD (%) | 89% | 98% | 89% | 100% | 85% | 100% | 100% | 100% | 97% | |
| AMI-4 | Adult Smoking Cessation Advice/Counseling (%) | 99% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | |
| AMI-5 | Beta Blocker Prescribed at Discharge (%) | 96% | 98% | 99% | 97% | 97% | 100% | 98% | 96% | 99% | |
| AMI-7a | Fibrinolysis Agent Within 30 Min of Arrival (%) | 50% | No Cases | 100% | No Cases | No Cases | No Cases | No Cases | No Cases | 14% | |
| AMI-8a | PCI w/in 90 minutes of Arrival | 81% | 83% | 85% | 84% | 81% | 100% | 83% | 84% | 92% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Attack. | 88% | 91% | 92% | 93% | 91% | 95% | 96% | 92% | |||
| Heart Attack Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
93% | 97% | 98% | 98% | 97% | 98% | 99% | 98% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
** Includes Christ and St. Luke Hospitals through June, 2007 Includes Jewish and Fort Hamilton Hospitals through June 2008. FY2009 & FY2010 includes only University Hospital and West Chester Hospital data.
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC Health Heart Failure Care Quality Measures |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|
|||||||||
| HF-1 | Discharge Instructions (%) | 89% | 94% | 79% | 90% | 52% | 87% | 90% | 89% | 91% | |
| HF-2 | Assessment Left Ventricular Function (%) | 99% | 100% | 99% | 99% | 100% | 99% | 99% | 99% | 99% | |
| HF-3 | ACE Inhibitor for LVSD (%) | 89% | 97% | 98% | 100% | 98% | 100% | 100% | 100% | 96% | |
| HF-4 | Adult Smoking Cessation Advice/Counseling (%) | 99% | 100% | 99% | 100% | 98% | 97% | 100% | 100% | 99% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Failure. | 88% | 94% | 81% | 91% | 57% | 88% | 91% | 91% | |||
| Heart Failure Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
95% | 98% | 93% | 96% | 84% | 95% | 97% | 96% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
** Includes Christ and St. Luke Hospitals through June, 2007 Includes Jewish and Fort Hamilton Hospitals through June 2008. FY2009 & FY2010 includes only University Hospital and West Chester Hospital data.
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC Health Pneumonia Care Quality Measures |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|
|||||||||
| PN-2 | Pneumococcal Vaccination (%) | 86% | 68% | 89% | 87% | 84% | 98% | 86% | 87% | 95% | |
| PN-3a | Blood Cultures 24 hrs prior to /after arrival - ICU (%) | 100% | 100% | 93% | 100% | 100% | 82% | 100% | NA | ||
| PN-3b | Blood Cultures in ED prior to Initial Antibiotic (%) | 91% | 94% | 97% | 96% | 100% | 96% | 96% | 96% | 96% | |
| PN-4 | Adult Smoking Cessation Advice/Counseling (%) | 97% | 91% | 96% | 99% | 100% | 97% | 100% | 98% | 98% | |
| PN-5c | Antibiotic w/in 6 hours of Arrival (%) | n/a | 92% | 90% | 94% | 91% | 92% | 91% | 95% | 96% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Pneumonia. | 69% | 78% | 81% | 76% | 83% | 88% | 85% | 72% | |||
| Pneumonia Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
92% | 92% | 93% | 94% | 94% | 96% | 94% | 94% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
** Includes Christ and St. Luke Hospitals through June, 2007 Includes Jewish and Fort Hamilton Hospitals through June 2008. FY2009 & FY2010 includes only University Hospital and West Chester Hospital data.
*** Effective October, 2007, the Pneumonia Composite Score includes only Antibiotic within 6 hours rather than 4 and 8 hours (per CMS change). Scores were re-calculated to reflect this change.
University Hospital
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| University Hospital Surgical Care Improvement Quality Measures |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|
|||||||||
| Inf-1a | Antibiotic within 1 hour of incision (%) | 95% | 96% | 97% | 98% | 95% | 96% | 97% | 97% | 97% | |
| Inf-2a | Antibiotic selection (%) | 97% | 96% | 96% | 93% | 92% | 99% | 92% | 95% | 98% | |
| Inf-3a | Antibiotic discontinued within 24 hours (%) | 85% | 86% | 91% | 96% | 97% | 96% | 94% | 98% | 95% | |
| VTE-1 | VTE prophylaxis ordered (%) | 89% | 99% | 99% | 100% | 98% | 100% | 100% | 100% | 94% | |
| VTE-2 | VTE prophylaxis timing (%) | 78% | 97% | 99% | 97% | 96% | 100% | 96% | 98% | 92% | |
| SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 81% | 81% | 87% | 89% | 86% | 93% | 86% | 92% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
TRENDED QUALITY DATA (Most recent 4 years) |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| University Hospital Heart Attack Care Quality Measures |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 08 - Dec 08) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|
|||||||||
| AMI-1 | Aspirin at Arrival (%) | 97% | 97% | 99% | 99% | 98% | 100% | 100% | 99% | 99% | |
| AMI-2 | Aspirin Prescribed at Discharge (%) | 98% | 97% | 98% | 100% | 98% | 96% | 100% | 100% | 99% | |
| AMI-3 | ACE Inhibitor for LVSD (%) | 99% | 98% | 89% | 100% | 82% | 100% | 100% | 100% | 97% | |
| AMI-4 | Adult Smoking Cessation Advice/Counseling (%) | 98% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | |
| AMI-5 | Beta Blocker Prescribed at Discharge (%) | 99% | 97% | 99% | 100% | 100% | 98% | 100% | 100% | 99% | |
| AMI-7 | Fibrinolysis Agent Within 30 Min of Arrival (%) | 100% | 100% | No Cases | No Cases | No Cases | No Cases | No Cases | No Cases | 14% | |
| AMI-8 | PCI w/in 90 minutes of Arrival | 70% | 91% | 85% | 83% | 81% | 100% | 83% | 82% | 92% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Attack. | 93% | 90% | 92% | 97% | 91% | 94% | 98% | 94% | |||
| Heart Attack Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
98% | 97% | 96% | 99% | 97% | 98% | 99% | 98% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| University Hospital Heart Failure Care Quality Measures |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|
|||||||||
| HF-1 | Discharge Instructions (%) | 94% | 91% | 76% | 90% | 46% | 86% | 90% | 89% | 84% | |
| HF-2 | Assessment Left Ventricular Function (%) | 100% | 100% | 99% | 99% | 100% | 99% | 100% | 99% | 96% | |
| HF-3 | ACE Inhibitor for LVSD (%) | 94% | 97% | 98% | 100% | 98% | 100% | 100% | 100% | 91% | |
| HF-4 | Adult Smoking Cessation Advice/Counseling (%) | 97% | 99% | 99% | 100% | 98% | 97% | 100% | 100% | 94% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Failure. | 90% | 91% | 78% | 91% | 50% | 86% | 92% | 91% | |||
| Heart Failure Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
96% | 96% | 92% | 97% | 92% | 95% | 97% | 97% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| University Hospital Pneumonia Care Quality Measures |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|
|||||||||
| PN-2 | Pneumococcal Vaccination (%) | 76% | 75% | 82% | 81% | 73% | 94% | 85% | 80% | 91% | |
| PN-3a | Blood Cultures 24 hrs prior to /after arrival - ICU (%) | 96% | 96% | 100% | 96% | 100% | 100% | 90% | 100% | NA | |
| PN-3b | Blood Cultures in ED prior to Initial Antibiotic (%) | 94% | 94% | 98% | 93% | 100% | 89% | 92% | 93% | 94% | |
| PN-4 | Adult Smoking Cessation Advice/Counseling (%) | 91% | 95% | 98% | 100% | 100% | 100% | 100% | 100% | 95% | |
| PN-5c | Antibiotic w/in 6 hours of Arrival (%) | 91% | 87% | 86% | 94% | 87% | 92% | 100% | 94% | 95% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Pneumonia. | 68% | 77% | 78% | 73% | 78% | 83% | 86% | 68% | |||
| Pneumonia Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
90% | 92% | 92% | 93% | 93% | 93% | 93% | 93% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
*** Effective October, 2007, the Pneumonia Composite Score includes only Antibiotic within 6 hours rather than 4 and 8 hours (per CMS change). Scores were re-calculated to reflect this change.
West Chester Hospital
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| West Chester Hospital Surgical Care Improvement Quality Measures |
FY09** (May 09 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|||||||||
| Inf-1a | Antibiotic within 1 hour of incision (%) | 91% | 98% | 99% | 100% | 100% | 99% | 99% | 97% | |
| Inf-2a | Antibiotic selection (%) | 100% | 98% | 98% | 99% | 98% | 99% | 98% | 98% | |
| Inf-3a | Antibiotic discontinued within 24 hours (%) | 91% | 98% | 99% | 97% | 98% | 98% | 99% | 95% | |
| VTE-1 | VTE prophylaxis ordered (%) | 89% | 90% | 96% | 86% | 93% | 92% | 98% | 94% | |
| VTE-2 | VTE prophylaxis timing (%) | 78% | 94% | 98% | 93% | 100% | 100% | 97% | 92% | |
| SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 91% | 91% | 96% | 93% | 98% | 95% | 97% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| West Chester Hospital Heart Attack Care Quality Measures |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|||||||||
| AMI-1 | Aspirin at Arrival (%) | 100% | 100% | 97% | 100% | 100% | 100% | 95% | 99% | |
| AMI-2 | Aspirin Prescribed at Discharge (%) | 96% | 100% | 100% | 100% | 100% | 100% | 100% | 99% | |
| AMI-3 | ACE Inhibitor for LVSD (%) | 93% | 100% | 100% | 100% | No Cases | 100% | 100% | 97% | |
| AMI-4 | Adult Smoking Cessation Advice/Counseling (%) | 100% | 100% | 100% | 100% | No Cases | No Cases | 100% | 100% | |
| AMI-5 | Beta Blocker Prescribed at Discharge (%) | 98% | 89% | 89% | 100% | 100% | 67% | 94% | 99% | |
| AMI-7 | Fibrinolysis Agent Within 30 Min of Arrival (%) | 100% | 100% | No Cases | No Cases | No Cases | No Cases | No Cases | 14% | |
| AMI-8 | PCI w/in 90 minutes of Arrival | 73% | No Cases | 88% | No Cases | No Cases | No Cases | 88% | 92% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Attack. | 87% | 94% | 85% | 100% | 100% | 78% | 87% | |||
| Heart Attack Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
60% | 98% | 97% | 97% | 97% | 97% | 94% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| West Chester Hospital Heart Failure Care Quality Measures |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
|||
| CMS Validated Data+ | |
|
|||||||||
| HF-1 | Discharge Instructions (%) | 80% | 95% | 89% | 95% | 100% | 90% | 89% | 84% | ||
| HF-2 | Assessment Left Ventricular Function (%) | 98% | 99% | 97% | 100% | 100% | 97% | 98% | 96% | ||
| HF-3 | ACE Inhibitor for LVSD (%) | 92% | 98% | 100% | 100% | 100% | 100% | 100% | 91% | ||
| HF-4 | Adult Smoking Cessation Advice/Counseling (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 94% | ||
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Failure. | 80% | 95% | 89% | 96% | 100% | 89% | 90% | ||||
| Heart Failure Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
100% | 98% | 95% | 98% | 100% | 95% | 95% | ||||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
| Core Measures (Reported for most recently available quarter: FY11 Q2 ) |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| West Chester Hospital Pneumonia Care Quality Measures |
FY09** (Jul 08 - Jun 09) |
FY10 (Jul 09 - Jun 10) |
FY11** (Jul 10 - Dec 10) |
FY10 Q3 (Jan 10 - Mar 10) |
FY10 Q4 (Apr 10 - Jun 10) |
FY11 Q1 (Jul 10 - Sep 10) |
FY12 Q2 (Oct 10 - Dec 10) |
Benchmark* (Jul 09 - Jun 10) |
||
| CMS Validated Data+ | |
|||||||||
| PN-2 | Pneumococcal Vaccination (%) | 92% | 94% | 92% | 90% | 100% | 87% | 95% | 91% | |
| PN-3a | Blood Cultures 24 hrs prior to /after arrival - ICU (%) | 100% | 100% | 89% | 100% | 100% | 71% | 100% | NA | |
| PN-3b | Blood Cultures in ED prior to Initial Antibiotic (%) | 94% | 97% | 100% | 100% | 100% | 100% | 100% | 94% | |
| PN-4 | Adult Smoking Cessation Advice/Counseling (%) | 100% | 92% | 96% | 100% | 94% | 100% | 93% | 95% | |
| PN-5c | Antibiotic w/in 6 hours of Arrival (%) | 93% | 94% | 93% | 95% | 92% | 91% | 96% | 95% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Pneumonia. | 78% | 83% | 83% | 89% | 91% | 85% | 81% | |||
| Pneumonia Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100. |
90% | 95% | 95% | 96% | 97% | 94% | 96% | |||
+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
*** Effective October, 2007, the Pneumonia Composite Score includes only Antibiotic within 6 hours rather than 4 and 8 hours (per CMS change). Scores were re-calculated to reflect this change.
Quality Reports
At UC Health, our mission is to provide Greater Cincinnati with access to high quality, affordable health care. Quality of care requires a continuous, focused commitment to measuring, reporting and improving how we care for our patients. We demonstrate our commitment by making our quality improvement efforts transparent to those we serve.
Data and statistics report our progress and keep you informed of new initiatives to improvements in health care. Using the tables as a guide, you may see our progress from year to year, and quarter to quarter.
Should you have any questions about the information provided on this site, please contact Quality Management Services at 513-584-8405.