| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
7 |
100% 1 |
88% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
37 |
97% |
88% |
86% |
100% |
| Patients Given Discharge Instructions |
31 |
90% |
76% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
3 |
100% 1 |
86% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
17 |
88% 1 |
82% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
46 |
96% |
83% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
22 |
100% 1 |
97% |
93% |
100% |
| Patients Given Oxygenation Assessment |
53 |
100% |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
17 |
94% 1 |
86% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
28 |
93% |
90% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
29 |
97% |
94% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
76 |
99% |
91% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
77 |
99% |
94% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
68 |
90% |
83% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
68 |
90% |
86% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
76 |
96% |
87% |
80% |
97% |