PERFORMANCE AT SAN LUKE'S MEMORIAL HOSPITAL INC
Acute Care Hospital in Ponce, PR 00733
Performance: Timely and Effective Care - Process of Care Measures
SAN LUKE'S MEMORIAL HOSPITAL INC
Tito Castro Ave #917 Ponce, PR 00733
Phone: (787) 844-2080
The measures of timely and effective care at San Luke's Memorial Hospital Inc 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.
Children's Asthma Care
The children's asthma care measures show the percentage of children with an asthma condition who were given a home management plan while admitted to the hospital.
| Measure | Hospital Average | How this Hospital Compares |
|---|---|---|
| Home Management Plan of Care Document | 82 Measure: Home Management Plan of Care Document This children's asthma measure is based on a sample size of 100. Sample data was collected between 04/01/2014 and 03/31/2015 |
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 | 75% Measure: PCI within 90 Minutes of Arrival This heart attack or chest pain measure is based on a sample size of 28. 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.
| 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 311. 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) | 86% Measure: Pneumonia Patients given Antibiotic(s) This pneumonia measure is based on a sample size of 66. 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 | 25% Measure: Patients Flu Immunization This preventive care measure is based on a sample size of 254. 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. |
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 | 90% Measure: Antibiotic within 1 Hour This surgical care improvement project measure is based on a sample size of 272. 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 | 77% Measure: Antibiotic Discontinued After 24 Hours This surgical care improvement project measure is based on a sample size of 271. 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 | 98% Measure: VTE Prophylaxis This surgical care improvement project measure is based on a sample size of 176. 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 | 97% Measure: Beta-Blocker Prior to Admission This surgical care improvement project measure is based on a sample size of 39. 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 | 92% Measure: Antibiotic Selection This surgical care improvement project measure is based on a sample size of 272. 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 | 100% Measure: Catheter Removal This surgical care improvement project measure is based on a sample size of 84. 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. |
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 | 72% Measure: Treatment to Prevent Blood Clots This blood clot prevention and treatment measure is based on a sample size of 150. 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, 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 | 34% Measure: Delivery Scheduled Too Early This pregnancy and delivery care measure is based on a sample size of 182. 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. 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.