Pneumonia Quality Measures at Strong Memorial Hospital

Pneumonia

	State Average	National Average	Strong Memorial Hospital
Pneumococcal Vaccination	92% 10/1/2009 - 9/30/2010	93% 10/1/2009 - 9/30/2010	100% 10/1/2010 - 12/31/2010
Patients 65 and older who were screened and vaccinated to prevent pneumonia Why is this important? A pneumonia (pneumococcal) shot can help prevent pneumonia in the future, even for patients who have been hospitalized for pneumonia.
Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital	95% 10/1/2009 - 9/30/2010	96% 10/1/2009 - 9/30/2010	100% 10/1/2010 - 12/31/2010
Pneumonia patients whose initial emergency room blood culture specimen was collected prior to first hospital dose of antibiotics. Why is this important? A blood culture tells what kind of medicine will work best to treat your pneumonia.
Adult Smoking Cessation Advice/Counseling	98% 10/1/2009 - 9/30/2010	97% 10/1/2009 - 9/30/2010	100% 10/1/2010 - 12/31/2010
Pneumonia patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during a hospital stay. Why is this important? Smoking is linked to pneumonia. Quitting may help prevent you from getting pneumonia again.
Initial Antibiotic Received Within 6 Hours of Hospital Arrival	93% 10/1/2009 - 9/30/2010	95% 10/1/2009 - 9/30/2010	92% 10/1/2010 - 12/31/2010
Pneumonia patients receiving an antibiotic within six hours of arriving at the hospital Why is this important? For patients with community acquired pneumonia, studies have shown that giving antibiotics within 6 ? 8 hours of arrival reduces mortality by 15 ? 30%.
Initial Antibiotic Selection for CAP in Immunocompetent Patient	92% 10/1/2009 - 9/30/2010	92% 10/1/2009 - 9/30/2010	95% 10/1/2010 - 12/31/2010
IImmunocompetent patients with pneumonia who receive an initial antibiotic regimen that is consistent with current guidelines. Why is this important? Antibiotics are medicines that treat infection, and each one is different. Hospitals should choose the antibiotic that best treat the infection type for each pneumonia patient.
Influenza Vaccination (seasonal)	90% 10/1/2009 - 9/30/2010	91% 10/1/2009 - 9/30/2010	94% 10/1/2010 - 12/31/2010
Pneumonia patients age 50 years and older, hospitalized during October, November, December, January, or February who were screened for influenza vaccine status and were vaccinated prior to discharge, if indicated Why is this important? An influenza shot can help prevent influenza in the future, even for patients who have been hospitalized for pneumonia.
Pneumonia (PN) 30-Day Mortality Rate (CMS)	Not available.	11.9% 7/1/2007 - 6/30/2010	13.6% 7/1/2007 - 6/30/2010
Patients hospitalized with a principal diagnosis of pneumonia 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 PN
Pneumonia (PN) 30-Day Readmission Rate (CMS)	Not available.	18.4% 7/1/2007 - 6/30/2010	20.6% 7/1/2007 - 6/30/2010
Pneumonia 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 PN.