PERFORMANCE AT MAYO CLINIC HLTH SYSTM FRANCISCAN HLTHCARE SPARTA

Critical Access Hospital in Sparta, WI 54656

Performance: Timely and Effective Care - Process of Care Measures

MAYO CLINIC HLTH SYSTM FRANCISCAN HLTHCARE SPARTA
310 W Main St Sparta, WI 54656
Phone: (608) 269-2132

The measures of timely and effective care at Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta 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
ER Waiting Time	13 minutes Measure: ER Waiting Time This emergency department measure is based on a sample size of 101. Sample data was collected between 04/01/2014 and 03/31/2015	Average wait time patients spent in the emergency room before being seen by a doctor. ^[3] A lower waiting time is better.
Discharge Time	1 hour 8 minutes Measure: Discharge Time This emergency department measure is based on a sample size of 92. Sample data was collected between 04/01/2014 and 03/31/2015	Average time discharged patients spent in the emergency room before being sent home. ^[3] A lower discharge time is better.
Time Before Admission	3 hours 9 minutes Measure: Time Before Admission This emergency department measure is based on a sample size of 32. 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	1 hour 24 minutes Measure: Transfer Time This emergency department measure is based on a sample size of 32. 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.

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)	100% Measure: Pneumonia Patients given Antibiotic(s) This pneumonia measure is based on a sample size of 13. 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	92% Measure: Patients Flu Immunization This preventive care measure is based on a sample size of 38. 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.
Healthcare Workers Flu Immunization	89% Measure: Healthcare Workers Flu Immunization This preventive care measure is based on a sample size of 228. 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.

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	98% Measure: Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 116. 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.

Footnotes:

[2] Data submitted were based on a sample of cases/patients.
[3] Results are based on a shorter time period than required.