Quality Care for our Patients
The process of care measures is the standard of care for the diagnoses identified as Core Measures, which include diagnoses such as Acute Myocardial Infarction (Heart Attack), Pneumonia, Surgical Care, Children’s Asthma, Stroke, Heart Failure and more.
The process of care measures is a national set of standardized care expectations for specific diagnoses, which have been studied and proven to promote maximum wellness and improve patient outcomes. Not all of the care measures apply to each patient but if they are found to be appropriate for the patient, they should be implemented. This process requires the patient, nurse and physician involvement to ensure the patient receives the best quality of care available for their particular diagnosis.
The Process of Care Measures percentages below were collected between April 2010 and March 2011 by chart review and submitted to regulatory agencies.
Click on each category below to see more information.
Heart Attack or Chest Pain Process of Care Measures
| |
Longview |
Marshall |
| Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital |
Not Available |
56 min |
| Average number of minutes before outpatients with chest pain or possible heart attack got an ECG |
4 min |
7 min |
| Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival |
Not Available |
82.0% |
| Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival |
100.0% |
97.0% |
| Heart Attack Patients Given Aspirin at Arrival |
98.0% |
94.0% |
| Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
95.0% |
92.0% |
| Heart Attack Patients Given Smoking Cessation Advice/Counseling |
98.0% |
Not Available |
| Heart Attack Patients Given Beta Blocker at Discharge |
99.0% |
85.0% |
| Heart Attack Patients Given PCI Within 90 Minutes Of Arrival |
89.0% |
Not Available |
| Heart Attack Patients Given a Prescription for a Statin at Discharge |
95.0% |
71.0% |
| |
|
|
Surgical Care Process of Care Measures
| |
Longview |
Marshall |
| Outpatients having surgery who got an antibiotic at the right time – within one hour before surgery |
94.0% |
89.0% |
| Outpatients having surgery who got the right kind of antibiotic |
99.0% |
96.0% |
| Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery |
92.0% |
79.0% |
| Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection |
98.0% |
95.0% |
| Surgery patients who were given the right kind of antibiotic to help prevent infection |
98.0% |
85.0% |
| Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery |
97.0% |
94.0% |
| Heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery |
94.0% |
Not Available |
| Surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor) |
100.0% |
100.0% |
| Surgery patients whose urinary catheters were removed on the first or second day after surgery |
93.0% |
88.0% |
| Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal by the end of surgery |
99.0% |
100.0% |
| Surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries |
96.0% |
82.0% |
| Patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery |
95.0% |
79.0% |
| |
|
|
Pneumonia Process of Care Measures
| |
Longview |
Marshall |
| Pneumonia Patients Assessed and Given Pneumococcal Vaccination |
95.0% |
87.0% |
| Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
99.0% |
92.0% |
| Pneumonia Patients Given Smoking Cessation Advice/Counseling |
98.0% |
97.0% |
| Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
98.0% |
97.0% |
| Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s) |
91.0% |
79.0% |
| Pneumonia Patients Assessed and Given Influenza Vaccination |
95.0% |
86.0% |
| |
|
|
Heart Failure Process of Care Measures
| |
Longview |
Marshall |
| Heart Failure Patients Given Discharge Instructions |
73.0% |
99.0% |
| Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
100.0% |
100.0% |
| Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
94.0% |
96.0% |
| Heart Failure Patients Given Smoking Cessation Advice/Counseling |
98.0% |
100.0% |
| |
|
|
Children’s Asthma Process of Care Measures
| |
Longview |
Marshall |
| Children Who Received Reliever Medication While Hospitalized for Asthma |
100.0% |
Not Available |
| Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma |
100.0% |
Not Available |
| Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma |
45.0% |
Not Available |
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|
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