PERFORMANCE AT HIMA-SAN PABLO FAJARDO
Acute Care Hospital in Fajardo, PR 00738
Performance: Timely and Effective Care - Process of Care Measures
HIMA-SAN PABLO FAJARDO
General Valero Ave#404 Fajardo, PR 00738
Phone: (787) 655-0505
The measures of timely and effective care at Hima-san Pablo Fajardo 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 | 11 hours 20 minutes Measure: Time Before Admission This emergency department measure is based on a sample size of 195. 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, 3] A lower time before admission is better. |
| Transfer Time | 4 hours Measure: Transfer Time This emergency department measure is based on a sample size of 195. 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, 3] 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 | 95% Measure: Evaluation of Left Ventricular Function This heart failure measure is based on a sample size of 131. 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. [3] 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) | 80% Measure: Pneumonia Patients given Antibiotic(s) This pneumonia measure is based on a sample size of 30. 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. [3] 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 | 53% Measure: Patients Flu Immunization This preventive care measure is based on a sample size of 198. Sample data was collected between 10/01/2014 and 03/31/2015 | Percentage of patients assessed and given influenza vaccination. [2, 3] A higher percentage of vaccinated patients is better. |
Stroke Care
The stroke care quality measures show well hospitals follow the standards of stroke care for adults who have had a stroke.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Antithrombotic Medication by Day Two | 100% Measure: Antithrombotic Medication by Day Two This stroke care measure is based on a sample size of 20. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic stroke patients who received medicine known to prevent complications caused by blood clots within 2 days of hospital admission. [3] A higher percentage is better. |
| Venous Thromboembolism (VTE) Prophylaxis | 90% Measure: Venous Thromboembolism (VTE) Prophylaxis This stroke care measure is based on a sample size of 21. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic or hemorrhagic stroke patients who received treatment to keep blood clots from forming anywhere in the body within 2 days of hospital admission. [3] A higher percentage is better. |
| Discharged on Antithrombotic Therapy | 100% Measure: Discharged on Antithrombotic Therapy This stroke care measure is based on a sample size of 17. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic stroke patients who received a prescription for medicine known to prevent complications caused by blood clots at discharge. [3] A higher percentage is better. |
| Discharged on Statin Medication | 79% Measure: Discharged on Statin Medication This stroke care measure is based on a sample size of 14. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic stroke patients needing medicine to lower bad cholesterol, who were given a prescription for this medicine at discharge. [3] A higher percentage is better. |
| Stroke Education | 100% Measure: Stroke Education This stroke care measure is based on a sample size of 17. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic or hemorrhagic stroke patients or caregivers who received written educational materials about stroke care and prevention during the hospital stay. [3] A higher percentage is better. |
| Assessed for Rehabilitation | 100% Measure: Assessed for Rehabilitation This stroke care measure is based on a sample size of 19. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of ischemic or hemorrhagic stroke patients who were evaluated for rehabilitation services. [3] A higher percentage 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 | 92% Measure: Antibiotic within 1 Hour This surgical care improvement project measure is based on a sample size of 201. 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. [3] A higher percentage is better. |
| Antibiotic Discontinued After 24 Hours | 61% Measure: Antibiotic Discontinued After 24 Hours This surgical care improvement project measure is based on a sample size of 201. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients whose preventive antibiotics were stopped within 24 hours after surgery. [3] A higher percentage is better. |
| VTE Prophylaxis | 94% Measure: VTE Prophylaxis This surgical care improvement project measure is based on a sample size of 209. 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. [3] A higher percentage is better. |
| Beta-Blocker Prior to Admission | 59% Measure: Beta-Blocker Prior to Admission This surgical care improvement project measure is based on a sample size of 17. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery. [3] A higher percentage is better. |
| Antibiotic Selection | 90% Measure: Antibiotic Selection This surgical care improvement project measure is based on a sample size of 201. Sample data was collected between 04/01/2014 and 03/31/2015 | Percentage of surgery patients who were given the right kind of antibiotic to help prevent infection. [3] A higher percentage is better. |
| Catheter Removal | 82% Measure: Catheter Removal This surgical care improvement project measure is based on a sample size of 28. 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. [3] 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 | 0% Measure: Delivery Scheduled Too Early This pregnancy and delivery care measure is based on a sample size of 29. 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. [3] A lower percentage of early deliveries is better. |
- [2] Data submitted were based on a sample of cases/patients.
- [3] Results are based on a shorter time period than required.