All Measures

Care Results

Click column headers to sort Condition	Number of Procedures = Proficient	Compared to Expected Rate
Abdominal Aortic Aneurysm Repair	132	Better
Angioplasty Heart Surgery	789	Better
Heart Bypass Surgery	735	Better

Care Results

Click column headers to sort Condition	Compared to Expected Rate
Blood Clots After Surgery	Better
Hip Fracture Surgery	Better
Pressure Ulcer	Better
Surgery Complications	Better

Recommended Care

Heart Attack

Measure Name	Rate
Percent of Patients Who Got All the Care They Needed for Treatment of a Heart Attack	98%
Upon Hospital Arrival (Emergency Department)
Percent of Heart Attack Patients Given Aspirin at Arrival	100%
Percent of Heart Attack Patients Given PCI within 90 Minutes of Arrival	94%
During Your Stay
Percent of Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	100%
Percent of Heart Attack Patients Given Smoking Cessation Advice/Counseling	100%
Discharge (When it’s time to leave the hospital)
Percent of Heart Attack Patients Given Aspirin at Discharge	100%
Percent of Heart Attack Patients Given Beta Blocker at Discharge	100%

Heart Failure

Measure Name	Rate
Percent of Patients Who Got All the Care They Needed for Treatment of Heart Failure	94%
During Your Stay
Percent of Heart Failure patients Given an Evaluation of Left Ventricular Systolic (LVS) Dysfunction	100%
Percent of Heart Failure Patients Given Smoking Cessation Advice/Counseling	100%
Discharge (When it’s time to leave the hospital)
Percent of Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction	97%
Percent of Heart Failure Patients Given Discharge Instructions	93%

Pneumonia

Measure Name	Rate
Percent of Patients Who Got All the Care They Needed for Treatment of Pneumonia	92%
Upon Hospital Arrival
Percent of Pneumonia Patients Given Initial Antibiotics within 6 Hours After Arrival	97%
Percent of Pneumonia Patients Given the Most Appropriate Initial Antibiotics	90%
Percent of Pneumonia Patients Whose Initial ER Blood Culture was Performed Prior to Administration of First Dose of Antibiotics	93%
During Your Stay
Percent of Pneumonia Patients Assessed and Given Influenza Vaccination	94%
Percent of Pneumonia Patients Assessed and Given Pneumococcal Vaccination	96%
Percent of Pneumonia Patients Given Smoking Cessation Advice/Counseling	100%

Surgical Care

Measure Name	Rate
Before Surgery
Percent of patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots	98%
Percent of surgery patients needing hair removed from the surgical area before surgery who had their hair removed using a safer method	100%
Percent of surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection	100%
Percent of surgery patients who were given the right kind of antibiotic to help prevent infection	99%
Percent of surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries	99%
After Surgery
Percent of surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours of surgery)	95%
Special Treatments for Patients with Chronic Conditions
Percent of heart surgery patients whose blood sugar is kept under good control in the days right after surgery	90%
Percent of surgery patients taking beta blockers before coming to the hospital who were kept on them in the days following surgery	96%

Hospital Patients' Experiences

	Nurse-Patient Communication	Doctor-Patient Communication	Receiving Help When Wanted	Patients Rating Of Hospital
	Average = 78%	Average = 81%	Average = 70%	Average = 71%
Saint Marys Hospital	79%	80%	73%	81%