III. ACCOUNTABILITY MEASURES. Care That Follows Best Practice
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1 III. ACCOTAILITY MEASRES Care That Follows est Practice
2 TIMELY & EFFECTIVE CARE FOR COMMO DIAGOSES Compliance with national quality accountability measures (Higher Is etter, except for time to transfer or to administer ECG) Health Avg. number of mins. before out w/chest pain in need of specialized care were transferred to another hospital ot available o data reported o data reported number of minutes before out with chest pain or possible heart attack got an ECG Outpatient w/chest pain who got drugs to break up blood clots within 30 minutes of arrival 60% 100% ot available o data reported o data reported Out with chest pain or possible heart attack who got aspirin within 24 hours of arrival Heart attack given fibrinolytic medication within 30 minutes of arrival Heart attack given PCI within 90 minutes of arrival 97% 60% 100% ot available 96% 100% 99% 100% 100% Heart attack given aspirin at discharge 99% Heart attack given a prescription for a statin at discharge 99% Heart failure given discharge instructions 94% 100% 98% 100% 100% 100% Heart failure given an evaluation of Left Ventricular Systolic function Heart failure given ACE inhibitor or AR for Left Ventricular Systolic Dysfunction Pneumonia given the most appropriate initial antibiotic(s) 99% 97% 96% 100% 99% 100% 99% 96% 100% etter Than elow Source: Medicare.gov, published July 2015 from data collected October 2013-September 2014
3 EST AT FOLLOWIG RECOMMEDED CARE VS. LOCAL PROVIDERS More Attentive Caregivers : Source: WhyotTheest.org, published October 2015 from data collected October 2013-September 2014 Health hospitals compared to hospitals located in Miami-Dade or Monroe Counties
4 EST AT FOLLOWIG RECOMMEDED CARE VS. LOCAL PROVIDERS More Attentive Caregivers : Source: WhyotTheest.org, published October 2015 from data collected October 2013-September 2014 Health hospitals compared to hospitals located in Miami-Dade or Monroe Counties
5 EST AT FOLLOWIG RECOMMEDED CARE VS..S. EWS HOOR ROLL Highest level of compliance with evidence-based best practices (weighted average of all of the process-of-care, or core measures, reported on CMS Compare) More More Attentive Attentive Caregivers Caregivers : H T S M D M C Source: WhyotTheest.org, published July 2015 from data collected October 2013-September 2014 Health South Florida system average compared to.s. ews America s est Honor Roll s
6 EST AT FOLLOWIG RECOMMEDED CARE VS..S. EWS HOOR ROLL Highest level of compliance with evidence-based best practices (weighted average of all of the process-of-care, or core measures, reported on CMS Compare) More More Attentive Attentive Caregivers Caregivers : H W H D S T S M D M C M Source: WhyotTheest.org, published October 2015 from data collected October 2013-September 2014 Health South Florida system average compared to.s. ews America s est Honor Roll s
7 LOOD CLOT PREVETIO and TREATMET Health Patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery 91% 100% 98.5% 100% 92% 99% 100% Patients who got treatment to prevent blood clots on the day of or day after being admitted to the intensive care unit (IC) 95% 100% Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it 6% 0% 0% 0% 0% 0% 0% Patients with blood clots who got the recommended treatment, which includes using two different blood thinner medicines at the same time 95% 100% Patients with blood clots who were treated with an intravenous blood thinner, and then were checked to determine if the blood thinner was putting the patient at an increased risk of bleeding 99% 100% Patients with blood clots who were discharged on a blood thinner medicine and received written instructions about that medicine 87% 100% etter Than elow Source: Medicare.gov, published July 2015 from data collected October 2013-September 2014 PREGACY and DELIVERY CARE Health Percent of newborns whose deliveries were scheduled too early (1-3 weeks early), when a scheduled delivery was not medically necessary 4% 0% 2% 0% 0% 7% 0% etter Than elow Source: Medicare.gov, published July 2015 from data collected October 2013-September 2014
8 PREVETIVE CARE MEASRES Immunization Rates (Higher is etter) Health Patients assessed and given influenza vaccination 93% 100% 99.2% 100% 98% 100% 99% 98% 100% Source: Medicare.gov, published April 2015 from data collected October 2013-March 2014 Healthcare workers assessed and given influenza vaccination 79% A 42.2% 41% 30% 46% 53% 35% 48% etter Than elow Source: Medicare.gov, published April 2015 from data collected October 2013-March 2014
9 STROKE CARE Health Stroke who got medicine to break up a blood clot within 3 hours after symptoms started 79% 100% 91% 100% 82% Stroke who received medicine known to prevent complications caused by blood clots within 2 days of arriving at the hospital 98% 100% Stroke who received treatment to keep blood clots from forming anywhere in the body within 2 days of arriving at the hospital 96% 100% 99% 100% Stroke who received a prescription for medicine known to prevent complications caused by blood clots before discharge 99% 100% Stroke with a type of irregular heartbeat who were given a prescription for a blood thinner at discharge 96% 100% Stroke needing medicine to lower cholesterol, who were given a prescription for this medicine before discharge 96% 100% Stroke or caregivers who received written educational materials about stroke care and prevention during the hospital stay 93% 100% 99% 100% 97% 100% Stroke who were evaluated for rehabilitation services 98% 100% 98% 100% etter Than elow Source: Medicare.gov, published July 2015 from data collected October 2013-September 2014
10 TIMELY & EFFECTIVE SRGICAL CARE Adherence to Surgical Care Improvement Program (SCIP) quality measures (Higher Is etter) Health Overal Surgical Care 98.3% 99.8% 99.9% 100.0% 99.9% 99.7% A 99.8% 100.0% Out having surgery who got an antibiotic at the right time (within one hour before surgery) 98% 100% 99.0% 95% Surgery who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection Surgery whose preventive antibiotics were stopped at the right time (within 24 hours after surgery) Patients who got treatment at the right time to help prevent blood clots after certain types of surgery 99% 100% 99.8% 99% 100% 98% 100% 99.7% 100% 99% 99% 100% 99% Out having surgery who got the right kind of antibiotic 98% 100% 98.6% 100% 99% 95% 99% 100% Patients who were kept on beta blocker heart drugs during the period just before and after surgery 98% 100% Surgery who were given the right kind of antibiotic to help prevent infection Surgery whose urinary catheters were removed on the first or second day after surgery 99% 100% 99.8% 99% 100% 98% Patients who were actively warmed in the O.R. or whose body temperature was near normal by the end of surgery etter Than elow Source: Medicare.gov, published July 2015 from data collected October 2013-September 2014
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