PERFORMANCE AT NORTHEAST ALABAMA REGIONAL MED CENTER
Acute Care Hospital in Anniston, AL 36207
Performance: Timely and Effective Care - Process of Care Measures
NORTHEAST ALABAMA REGIONAL MED CENTER
400 East 10th Street Anniston, AL 36207
Phone: (256) 235-5121
The measures of timely and effective care at Northeast Alabama Regional Med Center 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 | 44 minutes Measure: ER Waiting Time This emergency department measure is based on a sample size of 1706. 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 Time | 2 hours 55 minutes Measure: Discharge Time This emergency department measure is based on a sample size of 1583. 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 Admission | 4 hours 6 minutes Measure: Time Before Admission This emergency department measure is based on a sample size of 1299. 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 1 minute Measure: Transfer Time This emergency department measure is based on a sample size of 1297. 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 Bones | 1 hour 20 minutes Measure: Broken Bones This emergency department measure is based on a sample size of 159. 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 Scan | 53% Measure: CT Scan This emergency department measure is based on a sample size of 17. 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 Seen | 3% Measure:
Left Without
Being Seen This emergency department measure is based on a sample size of 42189. 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 Volume | High (40,000 - 59,999 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.
|
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.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| PCI within 90 Minutes of Arrival | 94% Measure: PCI within 90 Minutes of Arrival This heart attack or chest pain measure is based on a sample size of 33. 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. 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.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Evaluation of Left Ventricular Function | 99% Measure: Evaluation of Left Ventricular Function This heart failure measure is based on a sample size of 404. 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. 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) | 98% Measure: Pneumonia Patients given Antibiotic(s) This pneumonia measure is based on a sample size of 168. 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 | 79% Measure: Patients Flu Immunization This preventive care measure is based on a sample size of 1613. 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 | 72% Measure: Healthcare Workers Flu Immunization This preventive care measure is based on a sample size of 2103. 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.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Thrombolytic Therapy | 46% Measure: Thrombolytic Therapy This stroke care measure is based on a sample size of 26. 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. [2] A higher percentage is better. |
| Antithrombotic Medication by Day Two | 93% Measure: Antithrombotic Medication by Day Two This stroke care measure is based on a sample size of 122. 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. [2] A higher percentage is better. |
| Venous Thromboembolism (VTE) Prophylaxis | 69% Measure: Venous Thromboembolism (VTE) Prophylaxis This stroke care measure is based on a sample size of 148. 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. [2] A higher percentage is better. |
| Discharged on Antithrombotic Therapy | 98% Measure: Discharged on Antithrombotic Therapy This stroke care measure is based on a sample size of 132. 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. [2] A higher percentage is better. |
| Irregular Heartbeat with Anticoagulation Therapy | 92% Measure: Irregular Heartbeat with Anticoagulation Therapy This stroke care measure is based on a sample size of 12. 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. [2] A higher percentage is better. |
| Discharged on Statin Medication | 93% Measure: Discharged on Statin Medication This stroke care measure is based on a sample size of 110. 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. [2] A higher percentage is better. |
| Stroke Education | 87% Measure: Stroke Education This stroke care measure is based on a sample size of 76. 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. [2] A higher percentage is better. |
| Assessed for Rehabilitation | 91% Measure: Assessed for Rehabilitation This stroke care measure is based on a sample size of 139. 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. [2] 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 | 98% Measure: Antibiotic within 1 Hour This surgical care improvement project measure is based on a sample size of 622. 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. |
| Antibiotic Discontinued After 24 Hours | 97% Measure: Antibiotic Discontinued After 24 Hours This surgical care improvement project measure is based on a sample size of 609. 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] A higher percentage is better. |
| VTE Prophylaxis | 100% Measure: VTE Prophylaxis This surgical care improvement project measure is based on a sample size of 597. 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. |
| Beta-Blocker Prior to Admission | 96% Measure: Beta-Blocker Prior to Admission This surgical care improvement project measure is based on a sample size of 263. 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] A higher percentage is better. |
| Antibiotic Selection | 98% Measure: Antibiotic Selection This surgical care improvement project measure is based on a sample size of 620. 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] A higher percentage is better. |
| Catheter Removal | 98% Measure: Catheter Removal This surgical care improvement project measure is based on a sample size of 618. 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 | 76% Measure: Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 872. 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 | 89% Measure: ICU Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 143. 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 Clots | 14% Measure: Incidence of Preventable Blood Clots This blood clot prevention and treatment measure is based on a sample size of 28. 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 Therapy | 92% Measure: Anticoagulation
Overlap Therapy This blood clot prevention and treatment measure is based on a sample size of 75. 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 Thinner | 100% Measure: Intravenous Blood Thinner This blood clot prevention and treatment measure is based on a sample size of 40. 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] A higher percentage is better. |
| Discharged with Blood Thinner | 59% Measure: Discharged with Blood Thinner This blood clot prevention and treatment measure is based on a sample size of 44. 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. |
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 112. 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.
