Measures for Heart Attack Diagnoses

This table shows our percentage of compliance with every patient care standard being measured. A score of 91% means we were compliant with patient care best practices 91% of the time.

This table illustrates measures for past fiscal years and for each quarter of the current fiscal year. It shows our percentage of compliance with patient care best practices for adults diagnosed with heart attack.

Core Measures (Reported for most recently available quarter: FY09 Q2 )		DATA (Most recent 4 years)
Jewish Hospital Heart Attack Care Quality Measures		FY06 (Jul 05 - Jun 06)	FY07 (Jul 06 - Jun 07)	FY08** (Jul 07 - Mar 08)	FY09** (Jul 08 - Dec 08)	FY08 Q3 (Jan 08 - Mar 08)	FY08 Q4 (Apr 08 - Jun 08)	FY09 Q1 (Jul 08 - Sep 08)	FY09 Q2 (Oct 08 - Dec 08)	Benchmark* (Jul 07 - Jun 08)
CMS Validated Data+		√	√	√		√	√	√
AMI-1	Aspirin at Arrival (%)	98%	99%	100%	95%	100%	100%	98%	90%	96%
AMI-2	Aspirin Prescribed at Discharge (%)	96%	96%	96%	92%	95%	98%	93%	91%	93%
AMI-3	ACE Inhibitor for LVSD (%)	70%	97%	93%	89%	92%	100%	100%	78%	89%
AMI-4	Adult Smoking Cessation Advice/Counseling (%)	94%	100%	100%	100%	100%	100%	100%	100%	92%
AMI-5	Beta Blocker Prescribed at Discharge (%)	94%	98%	98%	97%	99%	95%	99%	96%	95%
AMI-6	Beta Blocker at Arrival (%)	94%	94%	93%	94%	96%	100%	98%	88%	91%
AMI-7	Thrombolytic Agent Within 30 Min of Arrival (%)	0%	0%	100%	No Cases	No Cases	No Cases	No Cases	No Cases	54%
AMI-8	PCI w/in 90 minutes of Arrival	45%	68%	73%	76%	75%	71%	83%	60%	74%
	Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Attack.	79%	87%	87%	92%	88%	90%	90%	75%
	Heart Attack Composite Score The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators foreach measure times 100.	94%	97%	96%	98%	97%	97%	97%	91%

+ The Centers for Medicare and Medicaid (CMS) audits a sample of patient records to make sure that reported numbers are accurate. The CMS process lags several months behind and so our most recent results have not been validated by CMS yet. Our validation scores are consistently good and we anticipate that the results shown accurately reflect performance for that interval.
* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.

FY09 Q2		CURRENT QUALITY SCORES FOR THE HEALTH ALLIANCE
All Health Alliance Heart Attack Care Quality Measures		University Hospital	Jewish Hospital	Fort Hamilton Hospital	Benchmark* (Jul 07 - Jun 08)
AMI-1	Aspirin at Arrival (%)	98%	90%	100%	96%
AMI-2	Aspirin Prescribed at Discharge (%)	99%	91%	100%	93%
AMI-3	ACE Inhibitor for LVSD (%)	100%	78%	0%	89%
AMI-4	Adult Smoking Cessation Advice/Counseling (%)	100%	100%	100%	92%
AMI-5	Beta Blocker Prescribed at Discharge (%)	97%	96%	100%	95%
AMI-6	Beta Blocker at Arrival (%)	95%	88%	83%	91%
AMI-7	Thrombolytic Agent Within 30 Min of Arrival (%)	No Cases	No Cases	No Cases	54%
AMI-8	PCI w/in 90 minutes of Arrival	67%	60%	No Cases	74%
	Perfect Score ** Patients who had all elements of care done correctly for the treatment of Heart Attack.	90%	75%	89%
	Heart Attack Composite Score ** The "Composite Score Approach" = the sum of the numerators for each measure divided by the sum of the denominators for each measure times 100.	97%	91%	89%

* Benchmark from Centers for Medicare and Medicaid - HHS Hospital Compare website, most current benchmark for Ohio.

** Includes Christ and St. Luke Hospitals through June, 2007

Aspirin at arrival
Aspirin can help keep blood clots from forming and dissolve blood clots that can cause heart attacks.

This measure shows the percent of heart attack patients who were given (or took) aspirin within 24 hours of arrival at the hospital

Aspirin prescribed at discharge
Taking aspirin may help prevent further heart attacks.

This measure shows the percent of heart attack patients who are prescribed aspirin at discharge.

ACE inhibitor for LVSD
ACE inhibitors and are medicines used to treat decreased heart function, heart attacks or heart failure.

LVSD stands for left ventricular systolic dysfunction. When the heart’s left ventrical does not function properly, the risk for additional heart attacks increases.

This measure shows the percent of heart attack patients who are prescribed ACE inhibitors at discharge.

Adult smoking cessation advice/ counseling
Smoking is linked to heart attacks. Quitting may help prevent another heart attack.

This measure shows the percent of heart attack patients with a history of smoking cigarettes, who are given smoking cessation advice or counseling during a hospital stay.

Beta blocker prescribed at discharge
Beta blockers are a type of medicine used to lower blood pressure, treat chest pain and heart failure, and to help prevent a heart attack.

This measure shows the percent of heart attack patients who are prescribed a beta blocker at discharge.

Beta blocker at arrival
Beta blockers are a type of medicine used to lower blood pressure, treat chest pain and heart failure, and to help prevent a heart attack.

This measure shows the percent of heart attack patients who were given (or took) a beta blocker within 24 hours of arrival at the hospital

Thrombolytic agent within 30 min of arrival
Blood clots can cause heart attacks. Doctors may give this medicine or perform a procedure to open the blockage. In some cases, they do both.

This measure shows the percent of heart attack patients who received thrombolytic therapy during the hospital stay and having a time from hospital arrival to thrombolysis of 30 minutes or less.

Using the tables as a guide for these three areas, you can see our progress year to year and quarter to quarter.

If you have any questions about the information provided on this site, please contact Health Alliance Quality Management Services at QualityManagementServices@healthall.com.