Hospital Outpatient Quality Reporting. Benchmarks and Trends. Fourth Quarter 2013 through Fourth Quarter 2014

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1 Hospital Outpatient Quality Reporting s and Trends Fourth Quarter through Fourth Quarter

2 Hospital Outpatient Quality Reporting (Hospital OQR) Acute Myocardial Infarction (AMI), Surgery, and Stroke Data s for Fourth Quarter Using the ABC Technique* *The benchmarks reported here are unrelated to the 9th percentiles that are published on Hospital Compare for individual measures. Rate% Numerator () Denominator () Number of Hospitals () National Rate% Numerator Denominator Number of Hospitals OP-2: Fibrinolytic Therapy Received Within 3 Minutes of ED Arrival OP-4: Aspirin at Arrival ,14 3, ,23 29,928 2,82 OP-6: Timing of Antibiotic Prophylaxis 1. 21,711 21, , ,441 3,144 Patients 1. 21,936 21, , ,32 3,133 Received Head CT or MRI Scan Interpretation Within 45 Minutes of ED Arrival 99. 1,4 1, ,93 7,373 2,463 Note: Rate is calculated using the Top 1% Sample. is calculated using the 1% Eligible Sample. CT = Computed Tomography MRI = Magnetic Resonance Imaging *Selected references 1. Kiefe C I, Weissman N W, Allison J J, et al. Identifying achievable benchmarks of care: Concept and methodology. International Journal for Quality in Health Care 1998, vol 1 (5): Weissman N W, Allison J J, Kiefe C I, et al. Achievable benchmarks of care: the ABC's of benchmarking. Journal of Evaluation in Clinical Practice 1999, vol 5 (3): Allison J, Kiefe C I, Weissman N W. Can data-driven benchmarks be used to set goals of Healthy People 21? American Journal of Public Health 1999, vol 89 (1): The benchmarks of care can be found on QualityNet at: This material was prepared under contract HHSM I/task order HHSM-5-T3 for the Centers for Medicare and Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

3 Trends of Acute Myocardial Infarction (AMI), Surgery, and Stroke Performance Measures and s Fourth Quarter to Fourth Quarter *The benchmarks reported here are unrelated to the 9th percentiles that are published on Hospital Compare for individual measures. OP-2: Fibrinolytic Therapy Received Within 3 Minutes of ED Arrival OP-4: Aspirin at Arrival OP-6: Timing of Antibiotic Prophylaxis Patients Received Head CT or MRI Scan Interpretation Within 45 Minutes of ED Arrival Each quarter consists of 3 months of data Qtr= Quarter ED = Emergency Department The following graphs represent the information in the table above. The blue lines with diamond points ( ) represent the national rates and the dark red lines with square points ( ) represent the benchmarks. OP-2: Fibrinolytic Therapy Received Within 3 Minutes of ED Arrival OP-4: Aspirin at Arrival OP-6: Timing of Antibiotic Prophylaxis Patients Received Head CT or MRI Scan Interpretation Within 45 Minutes of ED Arrival

4 Hospital Outpatient Quality Reporting (Hospital OQR) Acute Myocardial Infarction (AMI), Pain, and Emergency Department (ED) Data s for Fourth Quarter Summary of Data values displayed are in minutes (smaller values are better performing). ile National Hospital Number of Patients Number of Hospitals OP-1: Time to Fibrinolysis OP-3: Time to Transfer to Another Facility for Acute Coronary Intervention ,319 1,162 OP-5: Time to ECG ,48 2,838 OP-18b: Time from ED Arrival to ED Departure for Discharged ED Patients - Reporting Measure ,46 3,4 OP-2: Door to Diagnostic Evaluation by a Qualified Medical Personnel ,586 3,45 OP-21: Time to Pain Management for Long Bone Fracture ,989 3,288 ECG = Electrocardiogram

5 Trends of Acute Myocardial Infarction (AMI), Emergency Department (ED), and Pain Performance Measures and s Data - Fourth Quarter to Fourth Quarter values displayed are in minutes (smaller values are better performing) ile ile ile ile ile OP-1: Time to Fibrinolysis OP-3: Time to Transfer to Another Facility for Acute Coronary Intervention OP-5: Time to ECG OP-18b: Time from ED Arrival to ED Departure for Discharged ED Patients - Reporting Measure OP-2: Door to Diagnostic Evaluation by a Qualified Medical Personnel OP-21: Time to Pain Management for Long Bone Fracture Note: Each quarter consists of 3 months of data. Qtr = Quarter ED = Emergency Department The following graphs represent the information in the table above. The blue lines with diamond points ( ) represent the national median time and the dark red lines with square points ( ) represent the top tenth percentile median time OP-1: Time to Fibrinolysis OP-3: Time to Transfer to Another Facility for Acute Coronary Intervention OP-5: Time to ECG OP-18b: Time from ED Arrival to ED Departure for Discharged ED Patients OP-2: Door to Diagnostic Evaluation by a Qualified Medical Personnel OP-21: Time to Pain Management for Long Bone Fracture 6 4 2

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