PERFORMANCE AT MAYO CLINIC HOSPITAL

Acute Care Hospital in Phoenix, AZ 85054

Performance: Timely and Effective Care - Process of Care Measures

MAYO CLINIC HOSPITAL
5777 East Mayo Boulevard Phoenix, AZ 85054
Phone: (480) 342-2000

The measures of timely and effective care at Mayo Clinic 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.

MeasureHospital AverageHow this Hospital Compares
ER Waiting Time34 minutes Measure: ER Waiting Time
This emergency department measure is based on a sample size of 149. 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.

A lower waiting time is better.

Discharge Time3 hours 16 minutes Measure: Discharge Time
This emergency department measure is based on a sample size of 442. 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.

A lower discharge time is better.

Time Before Admission4 hours 55 minutes Measure: Time Before Admission
This emergency department measure is based on a sample size of 739. 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 Time1 hour 29 minutes Measure: Transfer Time
This emergency department measure is based on a sample size of 736. 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.

Broken Bones0 hours 59 minutes Measure: Broken Bones
This emergency department measure is based on a sample size of 55. Sample data was collected between 04/01/2014 and 03/31/2015

Average time patients spent in the emergency room with broken bones before they received pain medication.

CT Scan46% Measure: CT Scan
This emergency department measure is based on a sample size of 13. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients who arrived to the emergency room with stroke symptoms and received brain scan results within 45 minutes of arrival.

A higher percentage of timely delivered scan results is better.

Left Without Being Seen1% Measure: Left Without Being Seen
This emergency department measure is based on a sample size of 26408. Sample data was collected between 01/01/2013 and 12/31/2013

Percentage of emergency room patients who leave without being seen by a doctor.

A lower percentage is better.

ER VolumeMedium (20,000 - 39,999 patients annually) Measure: ER Volume
Sample data was collected between 01/01/2013 and 12/31/2013

The Emergency Department Volume (EDV) measure is based on the volume of patients seen per year and is provided by the hospital for the Outpatient Quality Reporting Program.

  • Very High: values greater than 60,000 patients per year.
  • High: values ranging from 40,000 to 59,999 patients per year.
  • Medium: values ranging from 20,000 to 39,999 patients per year.
  • Low: Values below 19,999 patients per year.

Heart Attack Care

The heart attack quality measures show how often or how quickly hospitals follow the best practices for the treatment of heart attacks which scientific evidence suggests might get the best results for people with certain common heart conditions.

MeasureHospital AverageHow this Hospital Compares
PCI within 90 Minutes of Arrival100% Measure: PCI within 90 Minutes of Arrival
This heart attack or chest pain measure is based on a sample size of 12. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of heart attack patients given a primary percutaneous coronary intervention (PCI) within 90 minutes or less of hospital arrival. A PCI procedure is performed by a doctor to open blocked blood vessels and help prevent further heart muscle damage. [3]

A higher percentage 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.

MeasureHospital AverageHow this Hospital Compares
Evaluation of Left Ventricular Function100% Measure: Evaluation of Left Ventricular Function
This heart failure measure is based on a sample size of 253. 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.

MeasureHospital AverageHow this Hospital Compares
Pneumonia Patients given Antibiotic(s)97% Measure: Pneumonia Patients given Antibiotic(s)
This pneumonia measure is based on a sample size of 70. 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.

MeasureHospital AverageHow this Hospital Compares
Patients Flu Immunization96% Measure: Patients Flu Immunization
This preventive care measure is based on a sample size of 684. 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 Immunization79% Measure: Healthcare Workers Flu Immunization
This preventive care measure is based on a sample size of 6215. 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.

Stroke Care

The stroke care quality measures show well hospitals follow the standards of stroke care for adults who have had a stroke.

MeasureHospital AverageHow this Hospital Compares
Thrombolytic Therapy100% Measure: Thrombolytic Therapy
This stroke care measure is based on a sample size of 32. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of ischemic stroke patients who got medicine to break up a blood clot within 3 hours after symptoms started.

A higher percentage is better.

Antithrombotic Medication by Day Two100% Measure: Antithrombotic Medication by Day Two
This stroke care measure is based on a sample size of 140. 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) Prophylaxis99% Measure: Venous Thromboembolism (VTE) Prophylaxis
This stroke care measure is based on a sample size of 270. 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.

A higher percentage is better.

Discharged on Antithrombotic Therapy100% Measure: Discharged on Antithrombotic Therapy
This stroke care measure is based on a sample size of 167. 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.

Irregular Heartbeat with Anticoagulation Therapy100% Measure: Irregular Heartbeat with Anticoagulation Therapy
This stroke care measure is based on a sample size of 40. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of ischemic stroke patients with a type of irregular heartbeat who were given a prescription for a blood thinner at discharge. [3]

A higher percentage is better.

Discharged on Statin Medication98% Measure: Discharged on Statin Medication
This stroke care measure is based on a sample size of 163. 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.

A higher percentage is better.

Stroke Education96% Measure: Stroke Education
This stroke care measure is based on a sample size of 103. 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.

A higher percentage is better.

Assessed for Rehabilitation100% Measure: Assessed for Rehabilitation
This stroke care measure is based on a sample size of 197. 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.

MeasureHospital AverageHow this Hospital Compares
Antibiotic within 1 Hour99% Measure: Antibiotic within 1 Hour
This surgical care improvement project measure is based on a sample size of 573. 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, 3]

A higher percentage is better.

Antibiotic Discontinued After 24 Hours99% Measure: Antibiotic Discontinued After 24 Hours
This surgical care improvement project measure is based on a sample size of 542. 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. [2, 3]

A higher percentage is better.

VTE Prophylaxis100% Measure: VTE Prophylaxis
This surgical care improvement project measure is based on a sample size of 602. 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, 3]

A higher percentage is better.

Beta-Blocker Prior to Admission100% Measure: Beta-Blocker Prior to Admission
This surgical care improvement project measure is based on a sample size of 279. 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. [2, 3]

A higher percentage is better.

Antibiotic Selection99% Measure: Antibiotic Selection
This surgical care improvement project measure is based on a sample size of 573. 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. [2, 3]

A higher percentage is better.

Catheter Removal100% Measure: Catheter Removal
This surgical care improvement project measure is based on a sample size of 561. 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, 3]

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.

MeasureHospital AverageHow this Hospital Compares
Treatment to Prevent Blood Clots99% Measure: Treatment to Prevent Blood Clots
This blood clot prevention and treatment measure is based on a sample size of 451. 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 Clots100% Measure: ICU Treatment to Prevent Blood Clots
This blood clot prevention and treatment measure is based on a sample size of 83. 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.

Incidence of Preventable Blood Clots0% Measure: Incidence of Preventable Blood Clots
This blood clot prevention and treatment measure is based on a sample size of 35. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it. [2]

A higher percentage is better.

Anticoagulation Overlap Therapy100% Measure: Anticoagulation Overlap Therapy
This blood clot prevention and treatment measure is based on a sample size of 126. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients with blood clots who got the recommended treatment, which includes using two different blood thinner medicines at the same time. [2]

A higher percentage is better.

Intravenous Blood Thinner100% Measure: Intravenous Blood Thinner
This blood clot prevention and treatment measure is based on a sample size of 137. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients with blood clots who were treated with an intravenous blood thinner, and then were checked to determine if the blood thinner caused unplanned complications. [2, 3]

A higher percentage is better.

Discharged with Blood Thinner85% Measure: Discharged with Blood Thinner
This blood clot prevention and treatment measure is based on a sample size of 96. Sample data was collected between 04/01/2014 and 03/31/2015

Percentage of patients with blood clots who were discharged on a blood thinner medicine and received written instructions about that medicine. [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.