Blod clot: Hospital acquired potentially preventable venous thromboembolism

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1 Quality Measures Blod clot: Warfarin therapy discharge instructions Blod clot: Hospital acquired potentially preventable venous thromboembolism Thrombolytic Therapy

2 Blod clot: Warfarin therapy discharge instructions Patients who develop blood clots (also called venous thromboembolism or VTE) will usually be given blood thinner medicines to take when they leave the hospital. Educating patients about how to take the medicine and its possible side effects can help prevent problems that could bring them back to the hospital. Before leaving the hospital, patients with a blood clot, who are taking a blood thinner medicine, and their caregiver should get information about the following topics: Compliance (how to follow medication instructions); Diet (how to eat a healthy diet and avoid foods that interfere with blood thinners); Monitoring their blood thinner medicine; Adverse drug reactions (difficulty breathing, vomiting, nausea); When to call your health care provider (dizziness or weakness, a fall, bright red bleeding) This measure shows the percentage of patients diagnosed with a blood clot (either at admission or during their hospital stay) and were discharged from the hospital on blood thinners (anticoagulants or anticoagulant therapy or warfarin therapy) and who were given written educational instructions at hospital discharge. Higher percentages are better. Allen Memorial Hospital Better than the top target threshold 100% Avera Heart Hospital of South Dakota Better than the top target threshold 100% Covenant Medical Center Better than the top target threshold 100% Douglas County Hospital Better than the top target threshold 100% Essentia Health - Duluth Better than the top target threshold 100% Essentia Health - St. Joseph's Medical Center Better than the top target threshold 100% Essentia Health Virginia Better than the top target threshold 100% Good Samaritan Health Center Better than the top target threshold 100% HealthEast St. John's Better than the top target threshold 100% HealthEast St. Joseph's Better than the top target threshold 100% HealthEast Woodwinds Hospital Better than the top target threshold 100% Howard Young Medical Center Better than the top target threshold 100% Lakeview Medical Center Better than the top target threshold 100% Mercy Hospital Better than the top target threshold 100% Mercy Medical Center North Iowa-Mason City IA Better than the top target threshold 100% North Memorial Medical Center Better than the top target threshold 100% Owatonna Hospital Better than the top target threshold 100% Park Nicollet Methodist Hospital Better than the top target threshold 100% Regions Hospital Better than the top target threshold 100% Riverview Hospital Better than the top target threshold 100% Spencer Municipal Hospital Better than the top target threshold 100% St. Alexius Medical Center Better than the top target threshold 100% St. Clare's Hospital of Weston, Inc Better than the top target threshold 100% St. Mary's Hospital Better than the top target threshold 100% St. Michael's Hospital Better than the top target threshold 100% University of Wisconsin Hospital and Clinics Better than the top target threshold 100% Fairview Ridges Hospital Better than the top target threshold 99% Fairview Southdale Hospital Better than the top target threshold 99% Sanford USD Medical Center Better than the top target threshold 99% St. Joseph's Hospital Better than the top target threshold 99% Unity Hospital Better than the top target threshold 99% Aspirus Wausau Hospital, Inc Better than the top target threshold 98% Essentia Health - St. Mary's Medical Center Better than the top target threshold 98% Mayo Clinic Health System - Eau Claire Hospital, Inc Better than the top target threshold 98% St. Mary's Hospital Better than the top target threshold 98% Essentia Health - Fargo Better than the top target threshold 97% Hennepin County Medical Center Better than the top target threshold 97% Mayo Clinic Health System Albert Lea and Austin Better than the top target threshold 97% Avera McKennan Hospital & University Health Center Better than the top target threshold 96% Maple Grove Hospital Better than the top target threshold 96%

3 Blod clot: Warfarin therapy discharge instructions Patients who develop blood clots (also called venous thromboembolism or VTE) will usually be given blood thinner medicines to take when they leave the hospital. Educating patients about how to take the medicine and its possible side effects can help prevent problems that could bring them back to the hospital. Before leaving the hospital, patients with a blood clot, who are taking a blood thinner medicine, and their caregiver should get information about the following topics: Compliance (how to follow medication instructions); Diet (how to eat a healthy diet and avoid foods that interfere with blood thinners); Monitoring their blood thinner medicine; Adverse drug reactions (difficulty breathing, vomiting, nausea); When to call your health care provider (dizziness or weakness, a fall, bright red bleeding) This measure shows the percentage of patients diagnosed with a blood clot (either at admission or during their hospital stay) and were discharged from the hospital on blood thinners (anticoagulants or anticoagulant therapy or warfarin therapy) and who were given written educational instructions at hospital discharge. Higher percentages are better. Altru Health System Better than the top target threshold 95% St. Cloud Hospital Better than the top target threshold 95% Abbott Northwestern Hospital Between the target thresholds 94% Mayo Clinic Health System - Fairmont Between the target thresholds 94% Avera St. Luke's Hospital Between the target thresholds 93% Fairview Lakes Regional Medical Center Between the target thresholds 93% Grand Itasca Clinic & Hospital Between the target thresholds 93% University of Minnesota Amplatz Children's Hospital, Fairview Between the target thresholds 93% University of Minnesota Medical Center, Fairview Between the target thresholds 93% Mayo Clinic Health System - Franciscan Medical Center, Inc Between the target thresholds 92% Northfield City Hospital Between the target thresholds 92% Regina Medical Center Between the target thresholds 92% Sanford Bemidji Medical Center Between the target thresholds 92% Lakeview Hospital Between the target thresholds 91% Buffalo Hospital Worse than the lowest target threshold 89% Mayo Clinic Health System - Mankato Worse than the lowest target threshold 89% St. Francis Regional Medical Center Worse than the lowest target threshold 89% Ridgeview Medical Center Worse than the lowest target threshold 88% United Hospital Worse than the lowest target threshold 88% Avera Queen of Peace Hospital Worse than the lowest target threshold 87% Essentia Health St. Mary's Hospital - Detroit Lakes Worse than the lowest target threshold 87% Gundersen Lutheran Medical Center, Inc Worse than the lowest target threshold 86% Sanford Medical Center Fargo Worse than the lowest target threshold 84% University of Iowa Hospital and Clinics Worse than the lowest target threshold 82% Rapid City Regional Hospital Worse than the lowest target threshold 81% St. Luke's Hospital Worse than the lowest target threshold 81% Mayo Clinic Health System Red Wing - Hospital Worse than the lowest target threshold 80% Sacred Heart Hospital Worse than the lowest target threshold 80% Winona Health Services Worse than the lowest target threshold 80% Froedtert Hospital Worse than the lowest target threshold 79% Trinity Hospital Worse than the lowest target threshold 78% Sanford Medical Center Worse than the lowest target threshold 76% Prairie Lakes Hospital Worse than the lowest target threshold 73% Lake Region Hospital Worse than the lowest target threshold 55%

4 Blod clot: Hospital acquired potentially preventable venous thromboembolism Because hospital patients often have to stay in bed for long periods of time, all patients admitted to the hospital are at increased risk of developing blood clots in their veins (also called venous thromboembolism or VTE) that can break off and travel to other parts of the body, like the heart, brain, or lung. Hospitals can prevent blood clots by routinely evaluating patients for their risk of developing blood clots and using appropriate prevention and treatment procedures. Prevention can include compression stockings, blood thinners, and/or other medicines. This measure shows the percentage of patients who developed blood clots while in the hospital who did not get preventive treatment beforehand. Lower percentages are better. Abbott Northwestern Hospital Better than target threshold 0% Altru Health System Better than target threshold 0% Aspirus Wausau Hospital, Inc Better than target threshold 0% Avera McKennan Hospital & University Health Center Better than target threshold 0% Fairview Southdale Hospital Better than target threshold 0% Hennepin County Medical Center Better than target threshold 0% Mayo Clinic Health System - Mankato Better than target threshold 0% Mercy Medical Center North Iowa-Mason City IA Better than target threshold 0% North Memorial Medical Center Better than target threshold 0% Rapid City Regional Hospital Better than target threshold 0% Regions Hospital Better than target threshold 0% Sanford Medical Center Fargo Better than target threshold 0% St. Cloud Hospital Better than target threshold 0% St. Joseph's Hospital Better than target threshold 0% St. Luke's Hospital Better than target threshold 0% St. Mary's Hospital Better than target threshold 0% Trinity Hospital Better than target threshold 0% Unity Hospital Better than target threshold 0% University of Iowa Hospital and Clinics Better than target threshold 0% University of Wisconsin Hospital and Clinics Better than target threshold 0% Froedtert Hospital Better than target threshold 1% Sanford USD Medical Center Better than target threshold 3% United Hospital Better than target threshold 4% Sacred Heart Hospital Better than target threshold 5% University of Minnesota Medical Center, Fairview Better than target threshold 5% Mercy Hospital Between the target thresholds 8% Essentia Health - St. Mary's Medical Center Worse than the target threshold 13% Park Nicollet Methodist Hospital Worse than the target threshold 20%

5 Thrombolytic Therapy Patients with ischemic stroke should get medicine called tissue plasminogen activator, or t-pa, to break up a blood clot within 3 hours after their symptoms start. T-PA is a kind of thrombolytic therapy. Research shows that hospitals that give t-pa within 3 hours after symptoms start can limit the damage and disability caused by an ischemic stroke. This measure shows the percentage of patients admitted with ischemic stroke who arrived in the emergency department (ED) within 2 hours of the onset of their symptoms and who got t-pa within 3 hours after the onset of their symptoms. Higher percentages are better.. Abbott Northwestern Hospital Better than the top target threshold 100% Allen Memorial Hospital Better than the top target threshold 100% Altru Health System Better than the top target threshold 100% Essentia Health - St. Mary's Medical Center Better than the top target threshold 100% Hennepin County Medical Center Better than the top target threshold 100% Mercy Hospital Better than the top target threshold 100% Mercy Medical Center North Iowa-Mason City IA Better than the top target threshold 100% Sanford Medical Center Fargo Better than the top target threshold 100% Sanford USD Medical Center Better than the top target threshold 100% St. Mary's Hospital Better than the top target threshold 100% University of Minnesota Medical Center, Fairview Better than the top target threshold 100% United Hospital Better than the top target threshold 99% HealthEast St. Joseph's Better than the top target threshold 96% St. Joseph's Hospital Better than the top target threshold 95% Fairview Southdale Hospital Better than the top target threshold 94% North Memorial Medical Center Better than the top target threshold 94% Regions Hospital Better than the top target threshold 94% Froedtert Hospital Better than the top target threshold 92% Gundersen Lutheran Medical Center, Inc Better than the top target threshold 92% Park Nicollet Methodist Hospital Better than the top target threshold 92% HealthEast St. John's Better than the top target threshold 91% St. Cloud Hospital Better than the top target threshold 91% Rapid City Regional Hospital Between the target thresholds 86% St. Luke's Hospital Worse than the lowest target threshold 83% Mayo Clinic Health System - Franciscan Medical Center, Inc Worse than the lowest target threshold 82%

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