The hospital quality measures come from data collected and submitted by hospitals to the QIO Clinical Warehouse. Below is a list of the 24 measures used to calculate the hospital rankings. All are process measures with higher percentage indicating better performance.
| Process Measure |
Definition |
AMI |
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat heart attacks, heart failure, or a decreased function of the heart. |
Percent of Patients Given Aspirin at Arrival |
Aspirin can help keep blood clots from forming and dissolve blood clots that can cause heart attacks. |
Percent of Patients Given Aspirin at Discharge |
Taking aspirin may help prevent further heart attacks. |
Percent of Patients Given Beta Blocker at Arrival |
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. |
Percent of Patients Given Beta Blocker at Discharge |
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. |
| Percent of Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival |
Blood clots can cause heart attacks. Doctors may give this medicine, or perform a procedure to open the blockage, and in some cases, may do both. |
| Percent of Heart Attack Patients Given PCI Within 90 Minutes Of Arrival |
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. |
| Percent of Heart Attack Patients Given Smoking Cessation Advice/Counseling |
Smoking is linked to heart attacks. Quitting may help prevent another heart attack. |
Heart Failure |
Percent of Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat heart attacks, heart failure, or a decreased function of the heart. |
Percent of Patients Given Assessment of Left Ventricular Function (LVF) |
An LVF assessment checks how the left chamber of the heart is pumping. |
| Percent of Heart Failure Patients Given Discharge Instructions |
The staff at the hospital should provide you with information to help you manage your heart failure symptoms when you are discharged. |
| Percent of Heart Failure Patients Given Smoking Cessation Advice/Counseling |
Smoking is linked to heart failure. Quitting may help improve your condition. |
Pneumonia |
Percent of Patients Assessed and Given Pneumococcal Vaccination |
A pneumonia (pneumococcal) shot can help prevent pneumonia in the future, even for patients who have been hospitalized for pneumonia. |
| Percent of Pneumonia Patients Assessed and Given Influenza Vaccination |
An influenza shot can help prevent Influenza in the future, even for patients who have been hospitalized for pneumonia. |
Percent of Patients Given Initial Antibiotic(s) within 4 Hours After Arrival |
Timely use of antibiotics can improve the treatment of pneumonia caused by bacteria. |
| Percent of Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s) |
Antibiotics are medicines that treat infection, and each one is different. Hospitals should choose the antibiotics that best treat the infection type for each pneumonia patient. |
Percent of Patients Given Oxygenation Assessment |
Having enough oxygen in your blood is important to your health. |
| Percent of Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
A blood culture tells what kind of medicine will work best to treat your pneumonia. |
| Percent of Pneumonia Patients Given Smoking Cessation Advice/Counseling |
Smoking is linked to pneumonia. Quitting may help prevent you from getting pneumonia again. |
| Surgical Infection Prevention |
| Percent of Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
Getting an antibiotic within one hour before surgery reduces the risk of wound infections. Hospitals should check to make sure surgery patients get antibiotics at the right time. |
| Percent of Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
Certain antibiotics are recommended to help prevent wound infection for particular types of surgery. |
| Percent of Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
It is important for hospitals to stop giving preventative antibiotics within 24 hours after surgery to avoid side effects and other problems associated with antibiotic use. For certain surgeries, however, antibiotics may be needed for a longer time. |
| Percent of Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
This measure tells how often surgery patients received treatment to prevent blood clots within 24 hours before or after certain surgeries. |
| Percent of Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
This measure tells how often surgery patients' doctors ordered treatment to prevent blood clots from forming in the veins after certain surgeries |