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Measures for Heart Attack Diagnoses
This table shows our percentage of compliance with every patient care standard being measured. A score of 91% means we were compliant with patient care best practices 91% of the time.This table illustrates measures for past fiscal years and for each quarter of the current fiscal year. It shows our percentage of compliance with patient care best practices for adults diagnosed with heart attack.
| Core Measures (Reported for most recently available quarter: FY10 Q2 ) | TRENDED QUALITY DATA (Most recent 4 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC Health Heart Attack Care Quality Measures |
FY07 (Jul 06 - |
FY08 ** (Jul 07 - |
FY09 ** (Jul 08 - |
FY10 (Jul 09 - |
(Jan 09- Mar 09) |
(Apr 09- Jun 09) |
(Jul 09 - Sep 09) |
(Oct 09 - Dec 09) |
Benchmark* (Jul 08- Jun 09) |
||
| CMS Validated Data+ | √ | √ | √ | √ | √ | ||||||
| Aspirin at Arrival (%) | 97% | 98% | 98% | 99% | 98% | 94% | 100% | 98% | 96% | ||
| Aspirin Prescribed at Discharge (%) | 96% | 96% | 97% | 98% | 94% | 96% | 100% | 97% | 92% | ||
| ACE Inhibitor for LVSD (%) | 78% | 89% | 98% | 86% | 97% | 90% | 85% | 89% | 92% | ||
| Adult Smoking Cessation Advice/Counseling (%) | 97% | 99% | 100% | 100% | 100% | 100% | 100% | 100% | 97% | ||
| Beta Blocker Prescribed at Discharge (%) | 95% | 96% | 98% | 98% | 99% | 97% | 100% | 97% | 96% | ||
| Fibrinolysis Agent Within 30 Min of Arrival (%) | 33% | 50% | No Cases | No Cases | No Cases | No Cases | 70% | ||||
| PCI w/in 90 minutes of Arrival | 50% | 81% | 83% | 84% | 89% | 64% | 89% | 80% | 81% | ||
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Attack. | 84% | 88% | 91% | 92% | 91% | 92% | 90% | 83% | |||
| Heart Attack Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators foreach measure times 100. |
94% | 93% | 97% | 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 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 Medical Center data.
Measures for Heart Failure Diagnoses
This table shows our percentage of compliance with every patient care standard being measured. A score of 91% means we were compliant with patient care best practices 91% of the time.
This table illustrates measures for past fiscal years and for each quarter of the current fiscal year. It shows our percentage of compliance with patient care best practices for adults diagnosed with heart failure.
| Core Measures (Reported for recently available quarter: FY10 Q2 ) | TRENDED QUALITY DATA (Most recent 4 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC Health Heart Failure Care Quality Measures |
FY07 (Jul 06 - |
FY09 ** (Jul 08 - |
(Jul 09 - Dec 09) |
FY09 Q3 (Jan 09 - Mar 09) |
FY09 Q4 (Apr 09- Jun 09) |
FY10 Q1 (Jul 09- Sep 09) |
FY10 Q2 (Oct 09- Dec 09) |
Benchmark* (Jul 08 - |
|||
| CMS Validated+ | √ | √ | √ | √ | √ | ||||||
| Discharge Instructions (%) | 78% | 89% | 94% | 90% | 90% | 84% | 81% | 99% | 84% | ||
| Assessment Left Ventricular Function (%) | 94% | 99% | 100% | 99% | 100% | 100% | 99% | 99% | 96% | ||
| ACE Inhibitor for LVSD (%) | 83% | 89% | 97% | 98% | 99% | 93% | 96% | 99% | 91% | ||
| Adult Smoking Cessation Advice/Counseling (%) | 97% | 99% | 100% | 99% | 98% | 100% | 98% | 100% | 94% | ||
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Failure. | 81% | 88% | 94% | 91% | 91% | 86% | 84% | 97% | |||
| 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. |
87% | 95% | 98% | 96% | 97% | 94% | 93% | 99% | |||
+ 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 Medical Center data.
Measures for Pneumonia Diagnosis
This table shows our percentage of compliance with every patient care standard being measured. A score of 91% means we were compliant with patient care best practices 91% of the time.
This table illustrates measures for past fiscal years and for each quarter of the current fiscal year. It shows our percentage of compliance with patient care best practices for adults diagnosed with pneumonia
| Core Measures (Reported for recently available quarter: FY10 Q2 ) | TRENDED QUALITY DATA (Most recent 4 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC Health Pneumonia Care Quality Measures |
FY07 (Jul 06 - |
FY08 ** (Jul 07 - |
FY09 ** (Jul 08 - |
(Jul 09- Dec 09) |
(Jan 09- Mar 09) |
(Apr 09- Jun 09) |
(Jul 09 - Sep 09) |
(Oct 09 - Dec 09) |
Benchmark* (Jul 08 - Jun 09) |
||
| CMS Validated+ | √ | √ | √ | √ | √ | ||||||
| Pneumococcal Vaccination (%) | 67% | 100% | 68% | 84% | 67% | 96% | 79% | 90% | 87% | ||
| Blood Cultures 24 hrs prior to / after arrival - ICU (%) | 100% | 100% | 90% | 100% | 100% | 100% | |||||
| Blood Cultures in ED prior to Initial Antibiotic (%) | 82% | 91% | 94% | 97% | 100% | 87% | 97% | 97% | 92% | ||
| Adult Smoking Cessation Advice/Counseling (%) | 92% | 97% | 91% | 93% | 100% | 100% | 100% | 88% | 92% | ||
| Antibiotic w/in 6 hours of Arrival (%) | n/a | n/a | 92% | 87% | 100% | 58% | 87% | 87% | 94% | ||
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Pneumonia. | 50% | 69% | 78% | 76% | 82% | 83% | 83% | 69% | |||
| 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.. |
86% | 92% | 92% | 93% | 97% | 93% | 92% | 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.
** 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 Medical Center data.
*** Effective October, 2007, the Pneumonia Composite Score includes only Antibotic within 6 hours rather than 4 and 8 hours (per CMS charge). Scores were re-calculated to reflect this change.
| Core Measures (Reported for most recently available quarter: FY10 Q2 ) | TRENDED QUALITY DATA (Most recent 3 years) |
(Most recent 4 quarters) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UC Health Surgical Care Improvement Quality Measures |
FY07 ** (Jul 06 - |
FY08 ** (Jul 07 - |
FY09 ** (Jul 08 - |
(Jul 09 - Dec 09) |
(Jan 08 - |
(Apr 08 - |
(Jul 09 - |
(Oct 09 - |
Benchmark* |
||
| CMS Validated Data+ | √ | √ | √ | √ | √ | ||||||
| Inf-1a | Antibiotic within 1 hour of incision (%) | 84% | 86% | 96% | 97% | 97% | 95% | 95% | 98% | 93% | |
| Inf-2a | Antibiotic selection (%) | 93% | 94% | 96% | 96% | 98% | 95% | 98% | 95% | 96% | |
| Inf-3a | Antibiotic discontinued within 24 hours (%) | 76% | 83% | 86% | 91% | 91% | 87% | 91% | 92% | 92% | |
| VTE prophylaxis ordered (%) | 81% | 86% | 99% | 96% | 98% | 97% | 97% | 96% | 92% | ||
| VTE prophylaxis timing (%) | 74% | 80% | 96% | 95% | 98% | 95% | 95% | 95% | 89% | ||
| SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 63% | 70% | 82% | 86% | 88% | 82% | 86% | 87% | |||
| Surgical Care Improvement 1-2-3 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. |
85% | 88% | 93% | 95% | 95% | 92% | 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. 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.
| Core Measures (Reported for most recently available quarter: FY10 Q2) | CURRENT QUALITY SCORES FOR UC HEALTH | |||||
|---|---|---|---|---|---|---|
| UC Health Heart Attack Care Quality Measures |
The University Hospital | West Chester Medical Center | Benchmark* (Jul 08 - Jun 09) |
|||
| Aspirin at Arrival (%) | 98% | 100% | ||||
| Aspirin Prescribed at Discharge (%) | 96% | 100% | 95% | |||
| ACE Inhibitor for LVSD (%) | 89% | No Cases | 92% | |||
| Adult Smoking Cessation Advice/Counseling (%) | 100% | 100% | 92% | |||
| Beta Blocker Prescribed at Discharge (%) | 98% | 83% | 97% | |||
| Thrombolytic Agent Within 30 Min of Arrival (%) | No Cases | No Cases | 70% | |||
| AMI-8a | PCI w/in 90 minutes of Arrival | 80% | No Cases | 81% | ||
| Perfect Score ** Patietns who had all elements of care done correctly for the treatment of Heart Attack. | 91% | 75% | ||||
| 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. |
97% | 94% | ||||
* 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 Medical Center data.
| Core Measures (Reported for recently available quarter: FY10 Q2) | CURRENT QUALITY SCORES FOR UC HEALTH | |||
|---|---|---|---|---|
| All UC Health Heart Failure Care Quality Measures |
The University Hospital | West Chester Medical Center | Benchmark* (Jul 08- Jun 09) |
|
| Discharge Instructions (%) | 99% | 92% | 84% | |
| Assessment Left Ventricular Function (%) | 99% | 99% | 96% | |
| ACE Inhibitor for LVSD (%) | 100% | 88% | 91% | |
| Adult Smoking Cessation Advice/Counseling (%) | 100% | 100% | 94% | |
| Perfect Score ** Patietns who had all elements of care done correctly for the treatment of Heart Failure. | 97% | 89% | ||
| Heart Failure Composite Score ** The "Composite Score Approach" = the percentage of overall compliance with the patient care best practices |
97% | 95% | ||
* 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 Medical Center data.
| Core Measures (Reported for recently available quarter: FY10 Q2) | CURRENT QUALITY SCORES FOR UC HEALTH | |||
|---|---|---|---|---|
| All UC Health Pneumonia Care Quality Measures |
The University Hospital | West Chester Medical Center | Benchmark* (Jul 08- Jun 09) |
|
| Oxygenation Assessment (%) | 83% | 94% | 91% | |
| Pneumococcal Vaccination (%) | 100% | 100% | NA | |
| Blood Cultures Performed Before First Antibiotic Received (%) | 100% | 94% | 94% | |
| Adult Smoking Cessation Advice/Counseling (%) | 92% | 78% | 95% | |
| Antibiotic w/in 6 hours of Arrival (%) | 80% | 96% | 95% | |
| Perfect Score ** Patients who had all elements of care done correctly for the treatment of Pneumonia | 70% | 67% | ||
| 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. |
94% | 92% | ||
* 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 Medical Center data.
| Core Measures (Reported for most recently available quarter) | CURRENT QUALITY SCORES FOR UC HEALTH | |||||
|---|---|---|---|---|---|---|
| All UC Health Surgical Care Improvement Quality Measures |
The University Hospital | West Chester Medical Center | Benchmark* (Jul 08- Jun 09) |
|||
| Antibiotic within 1 hour of incision (%) | 99% | 97% | 93% | |||
| Antibiotic selection (%) | 94% | 97% | 96% | |||
| Antibiotic discontinued within 24 hours (%) | 88% | 99% | 92% | |||
| VTE-1 | VTE prophylaxis ordered (%) | 100% | 89% | 92% | ||
| VTE-2 | VTE prophylaxis timing (%) | 100% | 86% | 89% | ||
| SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 83% | 93% | ||||
| Surgical Care Improvements 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. |
94% | 98% | ||||
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.
| THE UC HEALTH COMPOSITE SCORE | |||||||
|---|---|---|---|---|---|---|---|
| UC Health SCIP 1-2-3 Perfect Score | FY07 (Jul 06 - Jun 07) |
FY08** (Jul 07 - Jun 08) |
FY09** (Jul 08 - Jun 09) |
FY10** (Jul 09 - Dec 09) |
|||
| The University Hospital | 69% | 81% | 81% | 84% | |||
| West Chester Medical Center | Not Open | Not Open | 91% | 90% | |||
| UC Health SCIP 1-2-3 Perfect Score ** Patients who had all elements of care done correctly for the treatment of Surgical Care. | 63% | 85% | 87% | 86% | |||
| UC Health Surgical Care Improvement 1-2-3 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. |
85% | 88% | 93% | 95% | |||
** 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 Medical Center data.
