| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
4 |
100% 1 |
87% |
87% |
100% |
| Patients Given Aspirin at Arrival |
13 |
100% 1 |
92% |
93% |
100% |
| Patients Given Aspirin at Discharge |
8 |
88% 1 |
89% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
14 |
100% 1 |
86% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
12 |
100% 1 |
90% |
91% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
2 |
100% 1 |
94% |
92% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
9 |
100% 1 |
87% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
44 |
100% |
85% |
86% |
100% |
| Patients Given Discharge Instructions |
30 |
100% |
67% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
4 |
100% 1 |
88% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
52 |
100% |
78% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
117 |
100% |
77% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
54 |
100% |
93% |
93% |
100% |
| Patients Given Oxygenation Assessment |
147 |
98% |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
47 |
98% |
85% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
71 |
76% |
85% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
48 |
81% |
90% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
4 |
75% 1 |
77% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
4 |
50% 1 |
87% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
4 |
25% 1 |
69% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
4 |
25% 1 |
74% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
4 |
100% 1 |
76% |
80% |
97% |
