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URMC  » Quality & Safety » Quality Measures

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• Quality Measures
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Cardiology Quality Measures at Strong Memorial Hospital

• Angioplasty
• Coronary Bypass Surgery (CABG)
• Heart Attack
• Heart Failure

Angioplasty

	State Average	National Average	Strong Memorial Hospital
Number of angioplasty procedures performed	Not available.	Not available.	919 1/1/2012 - 12/31/2012
Why is this important? A medical procedure during which narrowed arteries that supply blood to the heart muscle are widened, to allow for improved flow of blood through these arteries to the heart, without the need for open heart surgery
Inpatient mortality rate for angioplasty	Not available.	Not available.	0.67% 1/1/2012 - 12/31/2012

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Coronary Bypass Surgery (CABG)

	State Average	National Average	Strong Memorial Hospital
Annual surgical volume for CABG procedures	Not available.	Not available.	343 1/1/2012 - 12/31/2012
Why is this important? Coronary Artery Bypass Graft (CABG) is a surgical procedure done to reroute or create an alternate path for the blood to flow around the blocked areas in the arteries to the heart.
Percentage of CABG procedures performed using internal mammary artery grafts	Not available.	Not available.	96.2% 1/1/2012 - 12/31/2012
Number of Isolated CABG procedures performed	Not available.	Not available.	289 1/1/2012 - 12/31/2012
Why is this important? An isolated coronary artery bypass graft means that no other procedures were performed during the CABG operation.
Number of CABG with Valve procedures performed	Not available.	Not available.	54 1/1/2012 - 12/31/2012
Percentage of CABG patients receiving antibiotics within one hour prior to surgery	Not available.	Not available.	99.3% 1/1/2012 - 12/31/2012
Percdentage of CABG patients with aspirin prescribed at discharge	Not available.	Not available.	95.6% 1/1/2012 - 12/31/2012
Percentage of CABG patients with statin prescribed at discharge	Not available.	Not available.	92.6% 1/1/2012 - 12/31/2012
Inpatient mortality rate for Isolated CABG	Not available.	Not available.	2.42% 1/1/2012 - 12/31/2012
Inpatient mortality rate for CABG with Valve	Not available.	Not available.	5.56% 1/1/2012 - 12/31/2012

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Heart Attack

	State Average	National Average	Strong Memorial Hospital
Aspirin Prescribed at Discharge	99% 7/1/2011 - 6/30/2012	99% 7/1/2011 - 6/30/2012	99.2% 10/1/2011 - 9/30/2012
Heart Attack Patients Given Asprin at Discharge Why is this important? Taking aspirin my help prevent further heart attacks.
Primary PCI Received within 90 Minutes Arrival	95% 7/1/2011 - 6/30/2012	94% 7/1/2011 - 6/30/2012	97.1% 10/1/2011 - 9/30/2012
Percent of Heart Attack patients with a blocked artery in the heart that is opened with balloon angioplasty within 90 minutes of arriving at the hospital Why is this important? The procedures called Percutaneous Coronary Interventions (PCI) are among those that are the most effective for opening blocked blood vessels that cause heart attacks. Doctors may perform PCI, or give medicine to open the blockage, and in some cases, may do both.
Acute Myocardial Infarction(AMI) 30-Day Mortality Rate (CMS)	Not available.	15.5% 7/1/2008 - 6/30/2011	13.9% 7/1/2008 - 6/30/2011
Patients hospitalized with a principal diagnosis of heart attack and died from any cause regardless of whether the patient dies while still in the hospital or after discharge Why is this important? The 30-day mortality measures focus on Medicare Fee-for-Service (FFS) patients with a principal diagnosis of AMI.
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate (CMS)	Not available.	19.7% 7/1/2008 - 6/30/2011	19.1% 7/1/2008 - 6/30/2011
Heart Attack patients who had a recent stay in a hospital who were readmitted within 30 days of discharge to the same hospital, or to a different hospital or acute care facility Why is this important? The 30-day readmission measures focus on Medicare Fee-for-Service (FFS) patients with a principal diagnosis of AMI.
Statin Prescribed at Discharge	98% 7/1/2011 - 6/30/2012	97% 7/1/2011 - 6/30/2012	99% 10/1/2011 - 9/30/2012
Heart attack patients given a prescription for a statin at discharge Why is this important? Statins are drugs used to lower cholesterol. Cholesterol is a fat (also called a lipid) that your body needs to work properly. Cholesterol levels that are too high can increase your chance of getting heart disease, stroke, and other problems. For patients who have had one or more heart attacks and have high cholesterol, taking Statins can lower the chance that they’ll have another heart attack or die.

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Heart Failure

	State Average	National Average	Strong Memorial Hospital
Discharge Instructions	93% 7/1/2011 - 6/30/2012	94% 7/1/2011 - 6/30/2012	99.7% 10/1/2011 - 9/30/2012
Heart Failure patients given instruction about managing their diet, weight, and medications after leaving the hospital Why is this important? The staff at the hospital should provide you with information to help you manage your heart failure symptoms when you are discharged.
Evaluation of LVS Function	99% 7/1/2011 - 6/30/2012	99% 7/1/2011 - 6/30/2012	99.9% 10/1/2011 - 9/30/2012
Heart Failure patients who had the function of the left ventricle checked during their hospital stay Why is this important? An evaluation of the LVS function checks how the left chamber of the heart is pumping.
ACEI or ARB for LVSD	96% 7/1/2011 - 6/30/2012	95% 7/1/2011 - 6/30/2012	96% 10/1/2011 - 9/30/2012
Heart Failure patients who received a prescription for an ACE Inhibitor when discharged from the hospital Why is this important? ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat heart attacks, heart failure, or a decreased function to the heart.
Heart Failure (HF) 30-Day Mortality Rate (CMS)	Not available.	11.6% 7/1/2008 - 6/30/2011	12.5% 7/1/2008 - 6/30/2011
Patients hospitalized with a principal diagnosis of heart failure and died from any cause regardless of whether the patient dies while still in the hospital or after discharge Why is this important? The 30-day mortality measures focus on Medicare Fee-for-Service (FFS) patients with a principal diagnosis of HF
Heart Failure (HF) 30-Day Readmission Rate (CMS)	Not available.	24.7% 7/1/2008 - 6/30/2011	23.8% 7/1/2008 - 6/30/2011
Heart Failure patients who had a recent stay in a hospital who were readmitted within 30 days of discharge to the same hospital, or to a different hospital or acute care facility Why is this important? The 30-day readmission measures focus on Medicare Fee-for-Service (FFS) patients with a principal diagnosis of HF.

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