PERFORMANCE AT FORT DEFIANCE INDIAN HOSPITAL
Acute Care Hospital in Fort Defiance, AZ 86504
Performance: Timely and Effective Care - Process of Care Measures
FORT DEFIANCE INDIAN HOSPITAL
Po Box 649 Fort Defiance, AZ 86504
Phone: (928) 729-8000
The measures of timely and effective care at Fort Defiance Indian Hospital show how rapidly patients received recommended treatments known to get the best results for certain medical conditions. The timely and effective care measures (also known as “process of care” measures) indicate the percentage of patients who received timely treatments for common conditions, serious medical conditions or surgical procedures. These quality measures only apply to patients for whom the recommended treatment would be appropriate.
The data and graphs below compare applicable quality measures with state and national averages. Notice that small differences between different hospitals wont necessary indicate a material difference in the real world.
Emergency Department Care
The emergency department quality measures comprise sample data of all hospitalized inpatients, regardless of diagnosis or clinical condition. The waiting times at different hospitals varies depending on the number of factors including: number of patients seen, staffing levels, hospital efficiency, admitting procedures and the availability of beds for admitted patients.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Time Before Admission | 4 hours 44 minutes Measure: Time Before Admission This emergency department measure is based on a sample size of 142. Sample data was collected between 04/01/2014 and 03/31/2015 | Average time spent in the emergency room before patients were admitted to the hospital. [2] A lower time before admission is better. |
| Transfer Time | 1 hour Measure: Transfer Time This emergency department measure is based on a sample size of 145. Sample data was collected between 04/01/2014 and 03/31/2015 | Average time patients spent in the emergency room, after the doctor admitted them as an inpatient before being taken to their room. [2] A lower transfer time is better. |
Heart Failure Care
The adequate treatment for heart failure patients depends on the area of heart affected. The "evaluation of the left ventricular systolic function" is a test that helps health providers determine whether the left side of the heart is pumping properly.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Evaluation of Left Ventricular Function | 77% Measure: Evaluation of Left Ventricular Function This heart failure measure is based on a sample size of 22. Sample data was collected between 04/01/2014 and 03/31/2015 | Heart failure patients given an evaluation of Left Ventricular Systolic (LVS) function. This evaluation can tell your doctor whether the left side of your heart is pumping properly. [2] A higher percentage of LVS evaluation is better. |
Pneumonia Care
Pneumonia is a lung infection that might be by caused by a bacteria or a virus. If the cause of pneumonia is bacterial, hospitals will treat the infection with the appropriate antibiotics.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Pneumonia Patients given Antibiotic(s) | 89% Measure: Pneumonia Patients given Antibiotic(s) This pneumonia measure is based on a sample size of 89. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients with pneumonia who received an initial antibiotic regimen during the first 24 hours consistent with current guidelines. A higher percentage is better. |
Preventive Care
Hospitals play a key role in promoting and educating patients about preventive services like immunizations, screenings, treatment, and lifestyle changes the preventive care measures shows how well hospitals are providing preventive services in their communities.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Patients Flu Immunization | 54% Measure: Patients Flu Immunization This preventive care measure is based on a sample size of 298. Sample data was collected between 10/01/2014 and 03/31/2015 | Percentage of patients assessed and given influenza vaccination. [2] A higher percentage of vaccinated patients is better. |
| Healthcare Workers Flu Immunization | 92% Measure: Healthcare Workers Flu Immunization This preventive care measure is based on a sample size of 887. Sample data was collected between 10/01/2014 and 03/31/2015 | Healthcare workers given influenza vaccination. A higher percentage of vaccinated workers is better. |
Surgical Care
The surgical care measures show how well hospitals follow the best practices of surgical care that help prevent complications after certain surgeries like colon surgery, hip replacement, knee replacement, hysterectomy, cardiac surgery and vascular surgery.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Antibiotic within 1 Hour | 21% Measure: Antibiotic within 1 Hour This surgical care improvement project measure is based on a sample size of 29. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients who were given an antibiotic within one hour before surgery to help prevent infection. [2] A higher percentage is better. |
| VTE Prophylaxis | 76% Measure: VTE Prophylaxis This surgical care improvement project measure is based on a sample size of 25. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients who got treatment within 24 hours before or after their surgery to help prevent blood clots after certain types of surgery. [2] A higher percentage is better. |
| Catheter Removal | 64% Measure: Catheter Removal This surgical care improvement project measure is based on a sample size of 14. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients whose urinary catheters were removed on the first or second day after surgery. [2] A higher percentage is better. |
Blood Clot Care
The blood clot care quality measures show how well hospitals provide the recommended treatments that might prevent or treat blood clots.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Treatment to Prevent Blood Clots | 86% Measure: Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 111. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery. [2] A higher percentage is better. |
| ICU Treatment to Prevent Blood Clots | 92% Measure: ICU Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 51. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of patients who got treatment to prevent blood clots on the day of or day after being admitted to the intensive care unit (ICU). [2] A higher percentage is better. |
Pregnancy and Delivery Care
The pregnancy guidelines indicate it is best to wait until the 39th completed week of pregnancy before delivering a baby. Researchers suggest that important fetal development takes place in the brain and lungs during the last weeks of pregnancy.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Delivery Scheduled Too Early | 2% Measure: Delivery Scheduled Too Early This pregnancy and delivery care measure is based on a sample size of 64. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of mothers whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery was not medically necessary. [2] A lower percentage of early deliveries is better. |
- [2] Data submitted were based on a sample of cases/patients.