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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.	253 10/1/2010 - 12/31/2010
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.	1.18% 10/1/2010 - 12/31/2010

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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.	315 10/1/2010 - 12/31/2010
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.	93.3% 10/1/2010 - 12/31/2010
Number of Isolated CABG procedures performed	Not available.	Not available.	63 10/1/2010 - 12/31/2010
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.	17 10/1/2010 - 12/31/2010
Percentage of CABG patients receiving antibiotics within one hour prior to surgery	Not available.	Not available.	100% 10/1/2010 - 12/31/2010
Percdentage of CABG patients with aspirin prescribed at discharge	Not available.	Not available.	98.7% 10/1/2010 - 12/31/2010
Percentage of CABG patients with statin prescribed at discharge	Not available.	Not available.	97.3% 10/1/2010 - 12/31/2010
Inpatient mortality rate for Isolated CABG	Not available.	Not available.	0% 10/1/2010 - 12/31/2010
Inpatient mortality rate for CABG with Valve	Not available.	Not available.	5.9% 10/1/2010 - 12/31/2010

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Heart Attack

	State Average	National Average	Strong Memorial Hospital
Aspirin at Arrival	98% 10/1/2009 - 9/30/2010	99% 10/1/2009 - 9/30/2010	100% 10/1/2010 - 12/31/2010
Heart Attack Patients Given Asprin at Arrival Why is this important? Aspirin can help keep blood clots from forming and dissolve blood clots that can cause heart attacks.
Aspirin Prescribed at Discharge	99% 10/1/2009 - 9/30/2010	99% 10/1/2009 - 9/30/2010	100% 10/1/2010 - 12/31/2010
Heart Attack Patients Given Asprin at Discharge Why is this important? Taking aspirin my help prevent further heart attacks.
ACEI or ARB for LVSD	95% 10/1/2009 - 9/30/2010	96% 10/1/2009 - 9/30/2010	97% 10/1/2010 - 12/31/2010
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction at discharge 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.
Adult Smoking Cessation Advice/Counseling	100% 10/1/2009 - 9/30/2010	100% 10/1/2009 - 9/30/2010	100% 10/1/2010 - 12/31/2010
Heart Attack Patients Given Smoking Cessation Advice/Counseling Why is this important? Smoking is linked to heart attacks. Quitting may help prevent another heart attack.
Beta-Blocker Prescribed at discharge	98% 10/1/2009 - 9/30/2010	98% 10/1/2009 - 9/30/2010	99% 10/1/2010 - 12/31/2010
Heart Attack patients who were prescribed a Beta-Blocker at the time of discharge Why is this important? Beta blockers are a type of medicine used to lower blood pressure, treat chest pain (angina) and heart failure, and to help prevent a heart attack.
Primary PCI Received within 90 Minutes Arrival	89% 10/1/2009 - 9/30/2010	90% 10/1/2009 - 9/30/2010	95% 10/1/2010 - 12/31/2010
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.	15.9% 7/1/2007 - 6/30/2010	14% 7/1/2007 - 6/30/2010
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.	19.8% 7/1/2007 - 6/30/2010	18.4% 7/1/2007 - 6/30/2010
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.

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Heart Failure

	State Average	National Average	Strong Memorial Hospital
Discharge Instructions	90% 10/1/2009 - 9/30/2010	89% 10/1/2009 - 9/30/2010	99% 10/1/2010 - 12/31/2010
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% 10/1/2009 - 9/30/2010	98% 10/1/2009 - 9/30/2010	100% 10/1/2010 - 12/31/2010
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	94% 10/1/2009 - 9/30/2010	95% 10/1/2009 - 9/30/2010	100% 10/1/2010 - 12/31/2010
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.
Adult Smoking Cessation Advice/Counseling	98% 10/1/2009 - 9/30/2010	99% 10/1/2009 - 9/30/2010	98% 10/1/2010 - 12/31/2010
Heart Failure patients who are counseled to quit smoking while in the hospital Why is this important? Smoking is linked to heart failure. Quitting may help improve your condition.
Heart Failure (HF) 30-Day Mortality Rate (CMS)	Not available.	11.3% 7/1/2007 - 6/30/2010	13.9% 7/1/2007 - 6/30/2010
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.	24.8% 7/1/2007 - 6/30/2010	23.7% 7/1/2007 - 6/30/2010
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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