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Quality Performance IndicatorsSOCH received impressive scores for quality when compared with other hospitals in New Jersey and in the United States. The data listed below is compiled by Hospital Compare, which provides the public with information on how well the hospitals care for all their adult patients with certain medical conditions. This information will help the public compare the quality of care hospitals provide. Hospital Compare was created through the efforts of the Centers for Medicare and Medicaid Services (CMS) and organizations that represent hospitals, doctors, employers, accrediting organizations, other Federal agencies and the public. The rates displayed by Hospital Compare are from data reported for discharges July 2005 through June 2006. To view the complete report, click on www.hospitalcompare.hhs.gov To view SOCH's performance on the following areas, click on a title below: Percentage of Heart Attack Patients Given Aspirin at Arrival Percentage of heart attack patients given aspirin at discharge Percentage of heart attack patients given beta blockers at arrival Percentage of heart attack patients given beta blocker at discharge Percent of Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function Percent of Heart Failure Patients Given Discharge Instructions Percent of Heart Failure Patients Given Smoking Cessation Advice/Counseling Percent of Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival Percent of Pneumonia Patients Given Oxygenation Assessment Percent of Pneumonia Patients Given Smoking Cessation Advise/Counseling Percent of Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s) Percent of Surgery Patients Who Received Preventive Antibiotic (s) One Hour Before Incision
Percentage of Heart Attack Patients Given Aspirin at Arrival
The heart is a muscle that gets oxygen through
blood vessels. Sometimes blood clots can block these blood vessels,
and the heart can’t
get enough oxygen. This can cause a heart attack. Chewing an aspirin
as soon as symptoms of a heart attack begin may help reduce the
severity of the attack. This chart shows the percent of heart attack
patients who were given (or took) aspirin within 24 hours of arrival
at the hospital.
Blood clots can block blood vessels. Aspirin
can help prevent blood clots from forming or help dissolve blood
clots that have formed. Following a heart attack, continued use
of aspirin may help reduce the risk of another heart attack. Aspirin
can have side effects like stomach inflammation, bleeding, or allergic
reactions. Talk to your health care provider before using aspirin
on a regular basis to make sure it’s safe for you. Percentage of heart attack patients given beta blockers at arrival
Beta blockers are a type of medicine that
is used to lower blood pressure, treat chest pain (angina) and
heart failure, and to help prevent a heart attack. Beta blockers
relieve the stress on the heart by slowing the heart rate and reducing
the force with which the heart muscle contracts (to pump blood).
Most heart attack patients should be given a beta blocker within
24 hours of arriving at the hospital. Percentage of heart attack patients given beta blocker at discharge
Beta blockers are a type of medicine that
is used to lower blood pressure, treat chest pain (angina) and
heart failure, and to help prevent a heart attack. Beta blockers
relieve the stress on your heart by slowing the heart rate and
reducing the force with which your heart muscles contract to pump
blood. They also help keep blood vessels from constricting in your
heart, brain, and body. If you have a heart attack, you should
get a prescription for a beta blocker before you leave the hospital. Percent of heart failure patients given ACE Inhibitor or ARB for Left Ventricular Systolic Dystfunction (LVSD)
ACE (angiotensin converting enzyme) inhibitors
and ARBs (angiotensin receptor blockers) are medicines used to
treat patients with heart failure and are particularly beneficial
in those patients with heart failure and decreased function of
the left side of the heart. Early treatment with ACE inhibitors
and ARBs in patients who have heart failure symptoms or decreased
heart function after a heart attack can also reduce their risk
of death from future heart attacks. ACE inhibitors and ARBs work
by limiting the effects of a hormone that narrows blood vessels,
and may thus lower blood pressure and reduce the work the heart
has to perform. Since the ways in which these two kinds of drugs
work are different, your doctor will decide which drug is most
appropriate for you. If you have a heart attack and/or heart failure,
you should get a prescription for ACE inhibitors or ARBs if you
have decreased heart function before you leave the hospital. Percent of Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function
The proper treatment for heart failure depends on what area of your heart is affected. An important test is to check how your heart is pumping, called an “evaluation of the left ventricular systolic function.” It can tell your health care provider whether the left side of your heart is pumping properly. Other ways to check on how your heart is pumping include:
Percent of Heart Failure Patients Given Discharge Instructions
Heart failure is a chronic condition. It results in symptoms such as shortness of breath, dizziness, and fatigue. Before you leave the hospital, the staff at the hospital should provide you with information to help you manage the symptoms after you get home. The information should include your:
Percent of Heart Failure Patients Given Smoking Cessation Advice/Counseling
Smoking increases your risk for developing
blood clots and heart disease, which can result in a heart attack,
heart failure or stroke. Smoking causes your blood vessels to thicken.
Fat and plaque then stick to the wall of your blood vessels, which
makes it harder for blood to flow. Reduced blood flow to your heart
may result in chest pain, high blood pressure, and an increased
heart rate. Smoking is linked to lung disease and cancer, and can
cause premature death. It is important for your health that you
get information to help you quit smoking before you leave the hospital. Percent of Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival
Antibiotics are used to treat adults with
pneumonia caused by bacteria. Early treatment with antibiotics
can cure bacterial pneumonia and reduce the possibility of complications.
This information shows the percent of patients who were given their
first dose of antibiotics within 4 hours of arrival at the hospital.
Patients who get pneumonia during their stay at the hospital are
not counted in this measure. Percent of Pneumonia Patients Given Oxygenation Assessment
Pneumonia can lower the oxygen in your blood
because the air spaces in your lungs fill with mucus. The oxygen
you breathe does not get into your bloodstream. It is important
that the amount of oxygen in your blood be measured within 24 hours
of arriving at the hospital to see if you need oxygen therapy.
The assessment may include an ABG (arterial blood gas) or pulse
oximetry (electrodes attached to a part of your body like a finger,
earlobe, or skin fold). Percent of Pneumonia Patients Given Smoking Cessation Advise/Counseling
Smoking damages your lungs and can make it
hard to breath. Smoking increases your chances of getting pneumonia
or other chronic lung diseases like emphysema and bronchitis. Smoking
is also linked to lung cancer, heart disease, and stroke, and can
cause premature death. It is important for you to get information
to help you quit smoking before you leave the hospital. Quitting
may reduce your chance of getting pneumonia again. Percent of Pneumonia Patients Given the Most Appropriate Initial Antibiotic (s)
Pneumonia is a lung infection that is usually
caused by bacteria or a virus. If pneumonia is caused by bacteria,
hospitals will treat the infection with antibiotics. Different
bacteria are treated with different antibiotics. Percent of Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior to the Administration of the First Hospital Dose of Antibiotics
Different types of bacteria can cause pneumonia.
A blood culture is a test that can help your health care provider
identify which bacteria may have caused your pneumonia, and which
antibiotic should be prescribed. A blood culture is not always
needed, but for patients who are first seen in the hospital emergency
department, it is important for the accuracy of the test that blood
culture be conducted before any antibiotics are started. It is
also important to start antibiotics as soon as possible. Percent of Surgery Patients Who Received Preventive Antibiotic (s) One Hour Before Incision
Antibiotics are medicines to prevent and treat
infections. Research shows that surgery patients who get antibiotics
within the hour before their operation are less likely to get wound
infections. Getting an antibiotic earlier, or after surgery begins,
is not as effective. This shows how often hospitals make sure surgery
patients get antibiotics at the right time. Percent of Surgery Patients Whose Preventive Antibiotic (s) are Stopped Within 24 Hours After Surgery
Antibiotics
are medicines to prevent and treat infections. While the likelihood
of infection after surgery can be reduced by giving patients preventative
antibiotics, taking these antibiotics for more than 24 hours after
routine surgery is usually not necessary and can increase the risk
of side effects such as stomach aches, serious types of diarrhea,
and antibiotic resistance (when antibiotics are used too much,
they will not work anymore.) There are exceptions – for
example, where the surgical site has been contaminated (making the
surgery not routine).Talk to your doctor if you have questions about
how long you should take antibiotics after surgery.
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