Quality Report Card
|
Performance Measures |
2007 |
2008 |
2009 Year Results |
Quarter Average Target |
2010 Year Results |
|
|
|
Average Length of Stay |
3.4 |
3.2 |
3.1 |
3.2 |
3.0 Days |
|
Planned Discharge to Home - Met Patient Goal |
X |
X |
81% |
80% |
92% |
|
| Antibiotics within 1 hr before incision Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection. |
97.4% |
97% |
99% |
96% |
99% |
|
| Antibiotic Selection Surgery patients who were given the right kind of antibiotic to help prevent infection. |
100% |
100% |
100% |
99% |
100% |
|
| Antibiotics discontinued within 24 hours after surgery Surgery patients whose preventative antibiotics were stopped at the right time (within 24 hours after surgery). |
100% |
96% |
97% |
96% |
98% |
|
| Blood Clot Prevention Orders Surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries. |
100% |
98% |
100% |
97% |
100% |
|
| Prevention Received within 24 hours Patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery. |
99.3% |
97% |
100% |
95% |
100% |
|
| Surgical Infection Rates |
0.9% |
1.85% |
0.50% |
2% |
1.2% |
|
| Unplanned 30 day Readmission Rate |
NA |
NA |
NA |
5% |
1% |
|
|
Health Grades - Complications |
6.3% |
7.6% |
6.9% |
7.95% |
4.4% |
|
|
|
Average Length of Stay |
3.2 |
3.1 |
2.9 |
3.2 |
3.1 |
| Planned Discharge to Home - Met Patient Goal |
X |
X |
87% |
80% |
90% |
|
| Antibiotics within 1 hr before incision |
100% |
98% |
99% |
96% |
100% |
|
| Antibiotic Selection |
98.1% |
99% |
98% |
99% |
99% |
|
| Antibiotics discontinued within 24 hours after surgery |
94.2% |
92% |
99% |
96% |
97% |
|
| Blood Clot Prevention Orders |
100% |
98% |
100% |
97% |
100% |
|
| Prevention Received within 24 hours |
97.1% |
97.2% |
100% |
95% |
100% |
|
| Surgical Infection Rates |
0.57% |
0.00% |
1% |
2% |
1.6% |
|
| Unplanned 30 day Readmission Rate |
NA |
NA |
NA |
5% |
2.3% |
|
| Health Grades - Complictions (CMS data only) |
4.7% |
4.2% |
5.9% |
9.04% |
6.9% |
|
 |
Number of Patients |
23 |
44 |
48 |
12 |
51 |
| Average Length of Stay |
3.25 |
3.85 |
4 |
3.4 |
3.7 |
|
| Planned Discharge to Home |
X |
X |
92% |
80% |
85% |
Center for Joint Replacement
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