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Quality Report Card

Quality checklistThe tables below show clinical quality for St. John Providence Health System hospitals versus State of Michigan hospital averages for heart attack, heart failure, pneumonia and surgery. Data is from the Hospital Compare, a web site created through the efforts of the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services, along with the Hospital Quality Alliance (HQA).

What if your procedure isn't listed here?

1. Click here for additional organizations that rate quality.

2. Research shows that hospitals that do many of the same types of procdures tend to perform better than those where few procedures are peformed. Ask your doctor if there is information on:

  • How often your procedure is done at the hospital
  • How often the doctor does the procedure
  • The patient outcomes (how well the patients do)
  • Whether the hospital has a special team of health professionals that works with people with your condition or treatment

Heart Failure

 

 

Meets or Exceeds Standard

Quality Measure

St. John Providence
Avg.
Dec 2007-Feb 2008

MI Avg.
July 2006-June 2007

Meets or exceeds standards

Percent of Patients Given Assessment of Left Ventricular Function (LVF)
An LVF assessment checks how the left chamber of the heart is pumping.

98%

92%

Meets or exceeds standards

Percent of Patients Given ACE Inhibitor for Left Ventricular Systolic Dysfunction (LVSD)
ACE (angiotensin converting enzyme) inhibitors are used to treat heart failure, including LSVD, a condition that arises when the heart has decreased function.

90%

88%

Meets or exceeds standards

Percent of Heart Failure Patients Given Discharge Instructions
Heart failure is a chronic condition that patients can manage when they have information – about medicines, diet, activities, and signs to watch for in order to prevent further hospitalization.

77%

76%

Meets or exceeds standards

Percent of Patients Given Smoking Cessation Advice/Counseling
Smoking is linked to decreased heart function and increased heart failure.

94%

88%

 

 

Heart Attack

 

Meets or Exceeds Standard

Quality Measure

St. John Providence
Avg. Dec 2007-Feb 2008

MI Avg.
July 2006-June 2007

Meets or exceeds standards

 

Percent of Patients Given ACE Inhibitor for Left Ventricular Systolic Dysfunction (LVSD)
ACE (angiotensin converting enzyme) inhibitors are medicines used to treat heart attacks, heart failure, and LSVD, a condition that arises when the left side of the heart has decreased function.

97%

89%

Meets or exceeds standards

Percent of Patients Given Aspirin at Arrival
Aspirin can help keep blood from forming blood clots that may cause heart attacks.

97%

93%

Meets or exceeds standards

 

Percent of Patients Given Aspirin at Discharge
Continuing to take aspirin after a heart attack may help prevent further heart attacks.

95%

93%

Meets or exceeds standards

Percent of Patients Given Beta Blocker at Arrival
Beta blockers are used to lower blood pressure, treat chest pain (angina) and heart failure, and to help prevent additional heart attacks.

93%

91%

Meets or exceeds standards

Percent of Patients Given Beta Blocker at Discharge
Beta blockers used to lower blood pressure, treat chest pain (angina) and heart failure, and to help prevent additional heart attacks.

97%

93%

Meets or exceeds standards

 

Percent of Patients Given PCI Within 90 Minutes Of Arrival
Percutaneous Coronary Interventions (PCI) are among the most effective procedures for opening blocked blood vessels that cause heart attacks.

88%

64%

Meets or exceeds standards

Percent of Patients Given Smoking Cessation Advice/Counseling

97%

90%

 

Percent of Patients Given Thrombolytic Medication Within 30 Minutes Of Arrival
Blood clots can cause heart attacks. Timely use of blood thinning medication helps dissolve clots.

No patients
met the criteria for inclusion in the measure calculation

33%

 

 

Pneumonia

 

Meets or Exceeds Standard

Quality Measure

St. John Providence
 Avg. Dec 2007-Feb 2008

MI Avg.
July 2006-June 2007

Meets or exceeds standards

Percent of Patients Assessed and Given Pneumococcal Vaccination
A pneumonia (pneumococcal) shot can help prevent pneumonia.

90%

78%

Meets or exceeds standards

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
Timely use of antibiotics can improve the treatment of pneumonia.

96%

95%

Meets or exceeds standards

 

Percent of Patients Given Oxygenation Assessment
Pneumonia patients often don't have enough oxygen in their blood, which can complicate their condition.

100%

100%

Meets or exceeds standards

Percent of Patients Given Smoking Cessation Advice/Counseling
Smoking increases pneumonia. We provide education to help pneumonia patients quit smoking.

87%

87%

Meets or exceeds standards

Percent of Patients Given the Most Appropriate Initial Antibiotic(s) (non-ICU)
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.

96%

91%

 

Percent of Patients Having a Blood Culture Performed Prior to First Antibiotic Received in Hospital
A blood culture tells what kind of medicine will work best to treat pneumonia.

90%

91%

 

 

 

 

Surgery

Meets or Exceeds Standard

Quality Measure

St. John
Providence
Avg. Dec 2007-Feb 2008

MI Avg.
July 2006-June 2007

Meets or exceeds standards

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.

96%

86%

Meets or exceeds standards

 

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.

99%

93%

Meets or exceeds standards

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

97%

87%


 

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